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					                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls



CHARGE BILLING DESCRIPTION             SEQ 999      SEQ 100 SEQ 300 DEPARTMENT   DEPARTMENT DESCRIPTION
CODE                                   AMOUNT       AMOUNT AMOUNT CODE

3600210   CPLX GENRL ANES ADD 15M          270.00                      36        ANESTHESIA
3600202   CPLX GENRL ANES FIRST 30M        504.00                      36        ANESTHESIA
3600236   MAC/REG ADD 15M                  206.00                      36        ANESTHESIA
3600301   MAC/REG ADD 15M NONOR            207.00                      36        ANESTHESIA
3600228   MAC/REG FIRST 30M                425.00                      36        ANESTHESIA
3600293   MAC/REG FIRST 30M NONOR          417.00                      36        ANESTHESIA
3600079   STND GENRL ANES ADD 15M          217.00                      36        ANESTHESIA
3600087   STND GENRL ANES FIRST 30M        439.00                      36        ANESTHESIA
5500053   CA ECHO 2D CMPL                  728.00                      55        CARDIO PULMONARY FUNCTION
5500046   CA ECHO 2D LTD                   371.00                      55        CARDIO PULMONARY FUNCTION
5500566   CA ECHO 2D W STRES               404.00                      55        CARDIO PULMONARY FUNCTION
5500061   CA ECHO DPPLER CMPL              321.00                      55        CARDIO PULMONARY FUNCTION
5500038   CA ECHO DPPLER COLOR FLOW        507.00                      55        CARDIO PULMONARY FUNCTION
5500012   CARDIAC STRESS TEST              376.00                      55        CARDIO PULMONARY FUNCTION
5500632   CON PERFLUTREN LIP MIC ML        127.37                      55        CARDIO PULMONARY FUNCTION
5500111   EKG NO SCAN 24HR ANLY/RPT        167.00                      55        CARDIO PULMONARY FUNCTION
5500004   EKG NO SCAN 24HR RCRD            355.00                      55        CARDIO PULMONARY FUNCTION
5026679   S IMP ABSORBABLE WOVEN          2828.03                      50        CENTRAL SUPPLY
5033345   S IMP ALGRFT 20CM X 20CM        2975.00                      50        CENTRAL SUPPLY
5031133   S IMP APLIGRAPH                 2130.05                      50        CENTRAL SUPPLY
5033295   S IMP AUTOCUF OPUSMAG           1128.75                      50        CENTRAL SUPPLY
5033287   S IMP AUTOCUF OPUSMAG           1085.00                      50        CENTRAL SUPPLY
5001268   S IMP BN CEM 6191HOWMD           176.20                      50        CENTRAL SUPPLY
5029202   S IMP BN CEMENT PALACOS          151.50                      50        CENTRAL SUPPLY
5022157   S IMP BN CMNT RSTRCT             289.80                      50        CENTRAL SUPPLY
5030390   S IMP BN END CAP 15              252.00                      50        CENTRAL SUPPLY
5030382   S IMP BN END CAP 458.10          152.00                      50        CENTRAL SUPPLY
5030408   S IMP BN END CAP 458.120         164.00                      50        CENTRAL SUPPLY
5030291   S IMP BN END CAP EXT 0           192.50                      50        CENTRAL SUPPLY
5030309   S IMP BN END CAP EXT 10          192.50                      50        CENTRAL SUPPLY
5030317   S IMP BN END CAP EXT 20          192.50                      50        CENTRAL SUPPLY
5028246   S IMP BN FEM NL 10X300           770.00                      50        CENTRAL SUPPLY
5028253   S IMP BN FEM NL 10X320           770.00                      50        CENTRAL SUPPLY
5028261   S IMP BN FEM NL 10X340           770.00                      50        CENTRAL SUPPLY
5028279   S IMP BN FEM NL 10X360           770.00                      50        CENTRAL SUPPLY
5028287   S IMP BN FEM NL 10X420           770.00                      50        CENTRAL SUPPLY
5028295   S IMP BN FEM NL 10X440           770.00                      50        CENTRAL SUPPLY
5028329   S IMP BN FEM NL 10X460           770.00                      50        CENTRAL SUPPLY




                                                       Page 1
                                   af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5028311   S IMP BN FEM NL 10X480        770.00                      50        CENTRAL SUPPLY
5028303   S IMP BN FEM NL 11X300        770.00                      50        CENTRAL SUPPLY
5028337   S IMP BN FEM NL 11X320        770.00                      50        CENTRAL SUPPLY
5028345   S IMP BN FEM NL 11X360        770.00                      50        CENTRAL SUPPLY
5028352   S IMP BN FEM NL 11X460        770.00                      50        CENTRAL SUPPLY
5028360   S IMP BN FEM NL 11X480        770.00                      50        CENTRAL SUPPLY
5028378   S IMP BN FEM NL 12X300        770.00                      50        CENTRAL SUPPLY
5028386   S IMP BN FEM NL 12X320        770.00                      50        CENTRAL SUPPLY
5028394   S IMP BN FEM NL 12X340        770.00                      50        CENTRAL SUPPLY
5028402   S IMP BN FEM NL 12X380        770.00                      50        CENTRAL SUPPLY
5028410   S IMP BN FEM NL 12X400        770.00                      50        CENTRAL SUPPLY
5028428   S IMP BN FEM NL 12X420        770.00                      50        CENTRAL SUPPLY
5028436   S IMP BN FEM NL 12X440        770.00                      50        CENTRAL SUPPLY
5028444   S IMP BN FEM NL 12X460        770.00                      50        CENTRAL SUPPLY
5028451   S IMP BN FEM NL 12X480        770.00                      50        CENTRAL SUPPLY
5028469   S IMP BN FEM NL 13X300        770.00                      50        CENTRAL SUPPLY
5028543   S IMP BN FEM NL 13X320        770.00                      50        CENTRAL SUPPLY
5028477   S IMP BN FEM NL 13X340        770.00                      50        CENTRAL SUPPLY
5028527   S IMP BN FEM NL 13X360        770.00                      50        CENTRAL SUPPLY
5028485   S IMP BN FEM NL 13X420        770.00                      50        CENTRAL SUPPLY
5028493   S IMP BN FEM NL 13X440        770.00                      50        CENTRAL SUPPLY
5028501   S IMP BN FEM NL 13X460        770.00                      50        CENTRAL SUPPLY
5028519   S IMP BN FEM NL 13X480        770.00                      50        CENTRAL SUPPLY
5028535   S IMP BN FEM NL 14X300        770.00                      50        CENTRAL SUPPLY
5028550   S IMP BN FEM NL 14X320        770.00                      50        CENTRAL SUPPLY
5028568   S IMP BN FEM NL 14X340        770.00                      50        CENTRAL SUPPLY
5028576   S IMP BN FEM NL 14X360        770.00                      50        CENTRAL SUPPLY
5028592   S IMP BN FEM NL 14X460        770.00                      50        CENTRAL SUPPLY
5028600   S IMP BN FEM NL 14X480        770.00                      50        CENTRAL SUPPLY
5028691   S IMP BN FEM NL 15X320        834.75                      50        CENTRAL SUPPLY
5028618   S IMP BN FEM NL 15X340        834.75                      50        CENTRAL SUPPLY
5028626   S IMP BN FEM NL 15X360        834.75                      50        CENTRAL SUPPLY
5028634   S IMP BN FEM NL 15X380        834.75                      50        CENTRAL SUPPLY
5028642   S IMP BN FEM NL 15X400        834.75                      50        CENTRAL SUPPLY
5028659   S IMP BN FEM NL 15X440        834.75                      50        CENTRAL SUPPLY
5028667   S IMP BN FEM NL 15X460        834.75                      50        CENTRAL SUPPLY
5028675   S IMP BN FEM NL 15X480        834.75                      50        CENTRAL SUPPLY
5028584   S IMP BN FM NL 274-455        817.25                      50        CENTRAL SUPPLY
5032602   S IMP BN K WIRE .032           24.60                      50        CENTRAL SUPPLY
5032610   S IMP BN K WIRE .045           25.41                      50        CENTRAL SUPPLY
5032628   S IMP BN K WIRE .062           24.60                      50        CENTRAL SUPPLY



                                                   Page 2
                                    af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5029343   S IMP BN K WRE 2 S FRG          16.35                      50        CENTRAL SUPPLY
5028238   S IMP BN LCKG BOLT 00          183.00                      50        CENTRAL SUPPLY
5027743   S IMP BN LCKG BOLT 34          154.00                      50        CENTRAL SUPPLY
5027750   S IMP BN LCKG BOLT 40          154.00                      50        CENTRAL SUPPLY
5027768   S IMP BN LCKG BOLT 42          154.00                      50        CENTRAL SUPPLY
5027776   S IMP BN LCKG BOLT 44          164.00                      50        CENTRAL SUPPLY
5027784   S IMP BN LCKG BOLT 46          154.00                      50        CENTRAL SUPPLY
5027792   S IMP BN LCKG BOLT 48          154.00                      50        CENTRAL SUPPLY
5027800   S IMP BN LCKG BOLT 50          164.00                      50        CENTRAL SUPPLY
5027818   S IMP BN LCKG BOLT 52          194.00                      50        CENTRAL SUPPLY
5027826   S IMP BN LCKG BOLT 54          183.00                      50        CENTRAL SUPPLY
5027834   S IMP BN LCKG BOLT 56          183.00                      50        CENTRAL SUPPLY
5027842   S IMP BN LCKG BOLT 58          183.00                      50        CENTRAL SUPPLY
5027859   S IMP BN LCKG BOLT 60          183.00                      50        CENTRAL SUPPLY
5027867   S IMP BN LCKG BOLT 64          183.00                      50        CENTRAL SUPPLY
5027875   S IMP BN LCKG BOLT 68          183.00                      50        CENTRAL SUPPLY
5028170   S IMP BN LCKG BOLT 72          183.00                      50        CENTRAL SUPPLY
5028188   S IMP BN LCKG BOLT 76          183.00                      50        CENTRAL SUPPLY
5028196   S IMP BN LCKG BOLT 80          183.00                      50        CENTRAL SUPPLY
5028204   S IMP BN LCKG BOLT 85          183.00                      50        CENTRAL SUPPLY
5028212   S IMP BN LCKG BOLT 90          183.00                      50        CENTRAL SUPPLY
5028220   S IMP BN LCKG BOLT 95          183.00                      50        CENTRAL SUPPLY
5030788   S IMP BN LCKG SCR 4X66         201.25                      50        CENTRAL SUPPLY
5030796   S IMP BN LCKG SCR 4X68         201.25                      50        CENTRAL SUPPLY
5030804   S IMP BN LCKG SCR 4X70         201.25                      50        CENTRAL SUPPLY
5030812   S IMP BN LCKG SCR 4X72         201.25                      50        CENTRAL SUPPLY
5030820   S IMP BN LCKG SCR 4X74         201.25                      50        CENTRAL SUPPLY
5030838   S IMP BN LCKG SCR 4X76         201.25                      50        CENTRAL SUPPLY
5030846   S IMP BN LCKG SCR 4X78         201.25                      50        CENTRAL SUPPLY
5030853   S IMP BN LCKG SCR 4X80         201.25                      50        CENTRAL SUPPLY
5031125   S IMP BN LCKG SCR 5X100        201.25                      50        CENTRAL SUPPLY
5030861   S IMP BN LCKG SCR 5X26         201.25                      50        CENTRAL SUPPLY
5030879   S IMP BN LCKG SCR 5X28         201.25                      50        CENTRAL SUPPLY
5030887   S IMP BN LCKG SCR 5X30         201.25                      50        CENTRAL SUPPLY
5030895   S IMP BN LCKG SCR 5X32         201.25                      50        CENTRAL SUPPLY
5030903   S IMP BN LCKG SCR 5X34         201.25                      50        CENTRAL SUPPLY
5030911   S IMP BN LCKG SCR 5X36         236.88                      50        CENTRAL SUPPLY
5030929   S IMP BN LCKG SCR 5X38         201.25                      50        CENTRAL SUPPLY
5030937   S IMP BN LCKG SCR 5X40         201.25                      50        CENTRAL SUPPLY
5030945   S IMP BN LCKG SCR 5X42         213.50                      50        CENTRAL SUPPLY
5030952   S IMP BN LCKG SCR 5X44         236.88                      50        CENTRAL SUPPLY



                                                    Page 3
                                    af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5030960   S IMP BN LCKG SCR 5X46         213.50                      50        CENTRAL SUPPLY
5030978   S IMP BN LCKG SCR 5X48         201.25                      50        CENTRAL SUPPLY
5030986   S IMP BN LCKG SCR 5X50         201.25                      50        CENTRAL SUPPLY
5030994   S IMP BN LCKG SCR 5X52         201.25                      50        CENTRAL SUPPLY
5031000   S IMP BN LCKG SCR 5X54         213.50                      50        CENTRAL SUPPLY
5031018   S IMP BN LCKG SCR 5X56         201.25                      50        CENTRAL SUPPLY
5031026   S IMP BN LCKG SCR 5X58         213.50                      50        CENTRAL SUPPLY
5031034   S IMP BN LCKG SCR 5X60         236.88                      50        CENTRAL SUPPLY
5031042   S IMP BN LCKG SCR 5X64         201.25                      50        CENTRAL SUPPLY
5031059   S IMP BN LCKG SCR 5X68         201.25                      50        CENTRAL SUPPLY
5031067   S IMP BN LCKG SCR 5X72         201.25                      50        CENTRAL SUPPLY
5031075   S IMP BN LCKG SCR 5X76         201.25                      50        CENTRAL SUPPLY
5031083   S IMP BN LCKG SCR 5X80         201.25                      50        CENTRAL SUPPLY
5031091   S IMP BN LCKG SCR 5X85         201.25                      50        CENTRAL SUPPLY
5031109   S IMP BN LCKG SCR 5X90         201.25                      50        CENTRAL SUPPLY
5031117   S IMP BN LCKG SCR 5X95         201.25                      50        CENTRAL SUPPLY
5001482   S IMP BN LOC BOLT ALL          137.50                      50        CENTRAL SUPPLY
5029079   S IMP BN NL 1/8 X 5            116.00                      50        CENTRAL SUPPLY
5029087   S IMP BN NL 1/8 X 5.5          116.00                      50        CENTRAL SUPPLY
5029061   S IMP BN NL 1/8 X 5.5          116.00                      50        CENTRAL SUPPLY
5029095   S IMP BN NL 1/8 X 6            116.00                      50        CENTRAL SUPPLY
5025523   S IMP BN NL 251-40S            696.50                      50        CENTRAL SUPPLY
5030515   S IMP BN NL 9 TIB 270         1302.00                      50        CENTRAL SUPPLY
5030523   S IMP BN NL 9 TIB 300         1302.00                      50        CENTRAL SUPPLY
5030531   S IMP BN NL 9 TIB 315         1525.44                      50        CENTRAL SUPPLY
5029053   S IMP BN NL BSH1/8 X 4         116.00                      50        CENTRAL SUPPLY
5030119   S IMP BN NL CAN FEM 380       1315.44                      50        CENTRAL SUPPLY
5030374   S IMP BN NL CAN FEM 400       1260.00                      50        CENTRAL SUPPLY
5030127   S IMP BN NL CAN FEM 420       1260.00                      50        CENTRAL SUPPLY
5030135   S IMP BN NL CAN FEM 440       1260.00                      50        CENTRAL SUPPLY
5030143   S IMP BN NL CAN FEM 460       1260.00                      50        CENTRAL SUPPLY
5030069   S IMP BN NL CAN FEM380        1370.25                      50        CENTRAL SUPPLY
5030077   S IMP BN NL CAN FEM400        1260.00                      50        CENTRAL SUPPLY
5030085   S IMP BN NL CAN FEM420        1260.00                      50        CENTRAL SUPPLY
5030093   S IMP BN NL CAN FEM440        1260.00                      50        CENTRAL SUPPLY
5030101   S IMP BN NL CAN FEM460        1260.00                      50        CENTRAL SUPPLY
5030200   S IMP BN NL CAN TIB 270       1319.50                      50        CENTRAL SUPPLY
5030218   S IMP BN NL CAN TIB 285       1319.50                      50        CENTRAL SUPPLY
5030226   S IMP BN NL CAN TIB 300       1319.50                      50        CENTRAL SUPPLY
5030234   S IMP BN NL CAN TIB 315       1319.50                      50        CENTRAL SUPPLY
5030242   S IMP BN NL CAN TIB 330       1349.04                      50        CENTRAL SUPPLY



                                                    Page 4
                                    af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5030259   S IMP BN NL CAN TIB 345       1319.50                      50        CENTRAL SUPPLY
5030267   S IMP BN NL CAN TIB 360       1319.50                      50        CENTRAL SUPPLY
5030275   S IMP BN NL CAN TIB 380       1319.50                      50        CENTRAL SUPPLY
5030283   S IMP BN NL CAN TIB 400       1319.50                      50        CENTRAL SUPPLY
5030325   S IMP BN NL FEM 360            999.25                      50        CENTRAL SUPPLY
5030333   S IMP BN NL FEM 380            999.25                      50        CENTRAL SUPPLY
5030341   S IMP BN NL FEM 400            999.25                      50        CENTRAL SUPPLY
5030358   S IMP BN NL FEM 420            999.25                      50        CENTRAL SUPPLY
5028683   S IMP BN NL FEMORAL            834.75                      50        CENTRAL SUPPLY
5001540   S IMP BN NL IM F 274           770.00                      50        CENTRAL SUPPLY
5029780   S IMP BN NL RS 3/16 8          130.00                      50        CENTRAL SUPPLY
5002100   S IMP BN NL RUSH ALL           115.50                      50        CENTRAL SUPPLY
5030010   S IMP BN NL SOLID 360          999.25                      50        CENTRAL SUPPLY
5030028   S IMP BN NL SOLID 380          999.25                      50        CENTRAL SUPPLY
5030036   S IMP BN NL SOLID 400          999.25                      50        CENTRAL SUPPLY
5030044   S IMP BN NL SOLID 420          999.25                      50        CENTRAL SUPPLY
5030051   S IMP BN NL SOLID 440          999.25                      50        CENTRAL SUPPLY
5030507   S IMP BN NL TIB 270           1302.00                      50        CENTRAL SUPPLY
5030416   S IMP BN NL TIB 270           1302.00                      50        CENTRAL SUPPLY
5030424   S IMP BN NL TIB 285           1302.00                      50        CENTRAL SUPPLY
5030432   S IMP BN NL TIB 300           1302.00                      50        CENTRAL SUPPLY
5030440   S IMP BN NL TIB 315           1302.00                      50        CENTRAL SUPPLY
5030457   S IMP BN NL TIB 330           1302.00                      50        CENTRAL SUPPLY
5030150   S IMP BN NL TIB 330           1302.00                      50        CENTRAL SUPPLY
5030465   S IMP BN NL TIB 345           1302.00                      50        CENTRAL SUPPLY
5030168   S IMP BN NL TIB 345           1302.00                      50        CENTRAL SUPPLY
5030473   S IMP BN NL TIB 360           1302.00                      50        CENTRAL SUPPLY
5030176   S IMP BN NL TIB 360           1302.00                      50        CENTRAL SUPPLY
5030481   S IMP BN NL TIB 380           1302.00                      50        CENTRAL SUPPLY
5030184   S IMP BN NL TIB 380           1302.00                      50        CENTRAL SUPPLY
5030499   S IMP BN NL TIB 400           1302.00                      50        CENTRAL SUPPLY
5030192   S IMP BN NL TIB 400           1302.00                      50        CENTRAL SUPPLY
5002506   S IMP BN PIN LOCK 1181          92.37                      50        CENTRAL SUPPLY
5002530   S IMP BN PIN STEIN 187          15.00                      50        CENTRAL SUPPLY
5002548   S IMP BN PIN STEIN 262          19.85                      50        CENTRAL SUPPLY
5029558   S IMP BN PLT 9 HOLE            188.00                      50        CENTRAL SUPPLY
5003405   S IMP BN PLT TB1181            345.19                      50        CENTRAL SUPPLY
5002795   S IMP BN PLT 222.04             89.37                      50        CENTRAL SUPPLY
5002985   S IMP BN PLT 240.14            224.00                      50        CENTRAL SUPPLY
5002993   S IMP BN PLT 240.16            287.00                      50        CENTRAL SUPPLY
5003223   S IMP BN PLT 242.06            136.81                      50        CENTRAL SUPPLY



                                                    Page 5
                                     af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5003330   S IMP BN PLT 243.41              81.12                      50        CENTRAL SUPPLY
5002779   S IMP BN PLT ACETABU            427.00                      50        CENTRAL SUPPLY
5002761   S IMP BN PLT ACETABU            358.75                      50        CENTRAL SUPPLY
5002753   S IMP BN PLT ACETABU            344.75                      50        CENTRAL SUPPLY
5002738   S IMP BN PLT ACETABU            405.37                      50        CENTRAL SUPPLY
5002720   S IMP BN PLT ACETABU            285.25                      50        CENTRAL SUPPLY
5002712   S IMP BN PLT ACETABU            316.75                      50        CENTRAL SUPPLY
5002746   S IMP BN PLT RECON 5HOLE        411.60                      50        CENTRAL SUPPLY
5003488   S IMP BN PLT TB 1181            474.25                      50        CENTRAL SUPPLY
5003421   S IMP BN PLT TB 1181            398.56                      50        CENTRAL SUPPLY
5032891   S IMP BN RAD FIX               2970.24                      50        CENTRAL SUPPLY
5029913   S IMP BN RUSH ROD 1/8X4         130.00                      50        CENTRAL SUPPLY
5029905   S IMP BN RUSH ROD 3/32X4        170.00                      50        CENTRAL SUPPLY
5004098   S IMP BN SCR 214.014             28.80                      50        CENTRAL SUPPLY
5004486   S IMP BN SCR 214.030             23.40                      50        CENTRAL SUPPLY
5020987   S IMP BN SCR 214.050             18.60                      50        CENTRAL SUPPLY
5003710   S IMP BN SCR 215.026             28.80                      50        CENTRAL SUPPLY
5025085   S IMP BN SCR 215-30              44.00                      50        CENTRAL SUPPLY
5004908   S IMP BN SCR 217.080             48.12                      50        CENTRAL SUPPLY
5004627   S IMP BN SCR 217.65              59.12                      50        CENTRAL SUPPLY
5030002   S IMP BN SCR 218.045             50.87                      50        CENTRAL SUPPLY
5032834   S IMP BN SCR 280.330            381.36                      50        CENTRAL SUPPLY
5032842   S IMP BN SCR 280.335            381.36                      50        CENTRAL SUPPLY
5032859   S IMP BN SCR 280.340            381.36                      50        CENTRAL SUPPLY
5032867   S IMP BN SCR 280.345            381.36                      50        CENTRAL SUPPLY
5027230   S IMP BN SCR CAN 3 S 8          193.03                      50        CENTRAL SUPPLY
5027248   S IMP BN SCR CAN 3 S 9          193.03                      50        CENTRAL SUPPLY
5027917   S IMP BN SCR CAN 3. 20          193.02                      50        CENTRAL SUPPLY
5027990   S IMP BN SCR CAN 3. 28          225.75                      50        CENTRAL SUPPLY
5027255   S IMP BN SCR CAN 3./10          193.03                      50        CENTRAL SUPPLY
5027263   S IMP BN SCR CAN 3./11          193.03                      50        CENTRAL SUPPLY
5027271   S IMP BN SCR CAN 3./13          193.03                      50        CENTRAL SUPPLY
5027289   S IMP BN SCR CAN 3./14          193.03                      50        CENTRAL SUPPLY
5027305   S IMP BN SCR CAN 3./15          243.25                      50        CENTRAL SUPPLY
5027321   S IMP BN SCR CAN 3./16          201.25                      50        CENTRAL SUPPLY
5027313   S IMP BN SCR CAN 3./17          193.03                      50        CENTRAL SUPPLY
5027339   S IMP BN SCR CAN 3./18          193.03                      50        CENTRAL SUPPLY
5027347   S IMP BN SCR CAN 3./19          193.03                      50        CENTRAL SUPPLY
5027354   S IMP BN SCR CAN 3./20          225.75                      50        CENTRAL SUPPLY
5027362   S IMP BN SCR CAN 3./21          211.75                      50        CENTRAL SUPPLY
5027370   S IMP BN SCR CAN 3./22          211.75                      50        CENTRAL SUPPLY



                                                     Page 6
                                   af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5027388   S IMP BN SCR CAN 3./23        193.03                      50        CENTRAL SUPPLY
5027404   S IMP BN SCR CAN 3./25        193.03                      50        CENTRAL SUPPLY
5027412   S IMP BN SCR CAN 3./26        225.75                      50        CENTRAL SUPPLY
5027420   S IMP BN SCR CAN 3./27        193.03                      50        CENTRAL SUPPLY
5027438   S IMP BN SCR CAN 3./28        193.03                      50        CENTRAL SUPPLY
5027446   S IMP BN SCR CAN 3./29        193.03                      50        CENTRAL SUPPLY
5027453   S IMP BN SCR CAN 3./30        225.75                      50        CENTRAL SUPPLY
5027461   S IMP BN SCR CAN 3./32        193.03                      50        CENTRAL SUPPLY
5027479   S IMP BN SCR CAN 3./34        193.03                      50        CENTRAL SUPPLY
5027487   S IMP BN SCR CAN 3./36        193.03                      50        CENTRAL SUPPLY
5027495   S IMP BN SCR CAN 3./38        193.03                      50        CENTRAL SUPPLY
5027503   S IMP BN SCR CAN 3./40        211.75                      50        CENTRAL SUPPLY
5027511   S IMP BN SCR CAN 3L/14        193.03                      50        CENTRAL SUPPLY
5027529   S IMP BN SCR CAN 3L/15        193.03                      50        CENTRAL SUPPLY
5027537   S IMP BN SCR CAN 3L/16        193.03                      50        CENTRAL SUPPLY
5027891   S IMP BN SCR CAN 3L/18        193.03                      50        CENTRAL SUPPLY
5027909   S IMP BN SCR CAN 3L/19        193.03                      50        CENTRAL SUPPLY
5027925   S IMP BN SCR CAN 3L/21        193.03                      50        CENTRAL SUPPLY
5027933   S IMP BN SCR CAN 3L/22        225.75                      50        CENTRAL SUPPLY
5027941   S IMP BN SCR CAN 3L/23        193.03                      50        CENTRAL SUPPLY
5027958   S IMP BN SCR CAN 3L/24        243.25                      50        CENTRAL SUPPLY
5027966   S IMP BN SCR CAN 3L/25        193.03                      50        CENTRAL SUPPLY
5027974   S IMP BN SCR CAN 3L/26        193.03                      50        CENTRAL SUPPLY
5027982   S IMP BN SCR CAN 3L/27        193.03                      50        CENTRAL SUPPLY
5028006   S IMP BN SCR CAN 3L/29        193.03                      50        CENTRAL SUPPLY
5028022   S IMP BN SCR CAN 3L/32        193.03                      50        CENTRAL SUPPLY
5028030   S IMP BN SCR CAN 3L/34        193.03                      50        CENTRAL SUPPLY
5028055   S IMP BN SCR CAN 3L/38        193.03                      50        CENTRAL SUPPLY
5028063   S IMP BN SCR CAN 3L/40        243.25                      50        CENTRAL SUPPLY
5029897   S IMP BN SCR CANLT 4.0        493.50                      50        CENTRAL SUPPLY
5028048   S IMP BN SCR CANNULATE        193.03                      50        CENTRAL SUPPLY
5027883   S IMP BN SCR CANNULATE        193.03                      50        CENTRAL SUPPLY
5027396   S IMP BN SCR CANNULATE        225.75                      50        CENTRAL SUPPLY
5027297   S IMP BN SCR CANNULATE        193.03                      50        CENTRAL SUPPLY
5005236   S IMP BN SCR CANU ALL         200.00                      50        CENTRAL SUPPLY
5004999   S IMP BN SCR CANU4.0          280.00                      50        CENTRAL SUPPLY
5005244   S IMP BN SCR HEX HEAD          99.00                      50        CENTRAL SUPPLY
5005251   S IMP BN SCR LAG ALL          320.25                      50        CENTRAL SUPPLY
5030549   S IMP BN SCR LCKG 18          201.25                      50        CENTRAL SUPPLY
5030556   S IMP BN SCR LCKG 20          201.25                      50        CENTRAL SUPPLY
5030564   S IMP BN SCR LCKG 22          201.25                      50        CENTRAL SUPPLY



                                                   Page 7
                                   af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5030572   S IMP BN SCR LCKG 24          201.25                      50        CENTRAL SUPPLY
5030580   S IMP BN SCR LCKG 26          201.25                      50        CENTRAL SUPPLY
5030598   S IMP BN SCR LCKG 28          201.25                      50        CENTRAL SUPPLY
5030606   S IMP BN SCR LCKG 30          236.88                      50        CENTRAL SUPPLY
5030614   S IMP BN SCR LCKG 32          201.25                      50        CENTRAL SUPPLY
5030622   S IMP BN SCR LCKG 34          201.25                      50        CENTRAL SUPPLY
5030630   S IMP BN SCR LCKG 36          236.88                      50        CENTRAL SUPPLY
5030648   S IMP BN SCR LCKG 38          201.25                      50        CENTRAL SUPPLY
5030655   S IMP BN SCR LCKG 40          201.25                      50        CENTRAL SUPPLY
5030663   S IMP BN SCR LCKG 42          201.25                      50        CENTRAL SUPPLY
5030671   S IMP BN SCR LCKG 44          201.25                      50        CENTRAL SUPPLY
5030689   S IMP BN SCR LCKG 46          201.25                      50        CENTRAL SUPPLY
5030697   S IMP BN SCR LCKG 48          201.25                      50        CENTRAL SUPPLY
5030705   S IMP BN SCR LCKG 50          236.88                      50        CENTRAL SUPPLY
5030713   S IMP BN SCR LCKG 52          201.25                      50        CENTRAL SUPPLY
5030721   S IMP BN SCR LCKG 54          201.25                      50        CENTRAL SUPPLY
5030739   S IMP BN SCR LCKG 56          201.25                      50        CENTRAL SUPPLY
5030747   S IMP BN SCR LCKG 58          201.25                      50        CENTRAL SUPPLY
5030754   S IMP BN SCR LCKG 60          201.25                      50        CENTRAL SUPPLY
5030770   S IMP BN SCR LCKG 62          201.25                      50        CENTRAL SUPPLY
5030762   S IMP BN SCR LCKG 62          201.25                      50        CENTRAL SUPPLY
5005178   S IMP BN SCR QUIDEWI           37.23                      50        CENTRAL SUPPLY
5005269   S IMP BN SCR SLF TAP           30.25                      50        CENTRAL SUPPLY
5028113   S IMP BN SCR SLFTAP 52         30.25                      50        CENTRAL SUPPLY
5028121   S IMP BN SCR SLFTAP 54         30.25                      50        CENTRAL SUPPLY
5005202   S IMP BN SCR WASHER            40.92                      50        CENTRAL SUPPLY
5004163   S IMP BN SCRW 202.01           25.80                      50        CENTRAL SUPPLY
5026489   S IMP BN SCRW 215-070          49.50                      50        CENTRAL SUPPLY
5026687   S IMP BN SCRW SLF TAP         691.25                      50        CENTRAL SUPPLY
5025507   S IMP BN TB & PLATE           641.73                      50        CENTRAL SUPPLY
5025499   S IMP BN TB & PLATE           780.54                      50        CENTRAL SUPPLY
5025481   S IMP BN TB & PLATE           728.00                      50        CENTRAL SUPPLY
5025473   S IMP BN TB & PLATE           686.00                      50        CENTRAL SUPPLY
5025465   S IMP BN TB & PLATE           638.12                      50        CENTRAL SUPPLY
5025457   S IMP BN TB & PLATE           638.12                      50        CENTRAL SUPPLY
5025440   S IMP BN TB & PLATE           520.96                      50        CENTRAL SUPPLY
5025432   S IMP BN TB & PLATE           520.96                      50        CENTRAL SUPPLY
5025424   S IMP BN TB & PLATE           439.25                      50        CENTRAL SUPPLY
5025416   S IMP BN TB & PLATE           439.25                      50        CENTRAL SUPPLY
5025408   S IMP BN TB & PLATE           434.44                      50        CENTRAL SUPPLY
5025390   S IMP BN TB & PLATE           434.44                      50        CENTRAL SUPPLY



                                                   Page 8
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5025382   S IMP BN TB & PLATE              474.25                      50        CENTRAL SUPPLY
5025374   S IMP BN TB & PLATE              429.25                      50        CENTRAL SUPPLY
5025903   S IMP BN TB/PLTE 12 HL           784.00                      50        CENTRAL SUPPLY
5028071   S IMP BN WASH THRED 3.           182.00                      50        CENTRAL SUPPLY
5028089   S IMP BN WASHER 6.5               41.93                      50        CENTRAL SUPPLY
5005491   S IMP BN WIRE KIRSHNR             13.99                      50        CENTRAL SUPPLY
5005558   S IMP BN WIRE KIRSHNR .45         16.71                      50        CENTRAL SUPPLY
5005566   S IMP BN WIRE KIRSHNR .62         15.45                      50        CENTRAL SUPPLY
5031927   S IMP BONE CR LAG 115MM 2        381.36                      50        CENTRAL SUPPLY
5031802   S IMP BONE GUIDE WIRE-TRO         91.08                      50        CENTRAL SUPPLY
5002498   S IMP BONE PIN LOCK              100.00                      50        CENTRAL SUPPLY
5032115   S IMP BONE PLATE 10HOLES         358.75                      50        CENTRAL SUPPLY
5002837   S IMP BONE PLATE 22405           184.32                      50        CENTRAL SUPPLY
5002860   S IMP BONE PLATE 22408           130.00                      50        CENTRAL SUPPLY
5002878   S IMP BONE PLATE 22409           178.00                      50        CENTRAL SUPPLY
5002894   S IMP BONE PLATE 22412           230.16                      50        CENTRAL SUPPLY
5002902   S IMP BONE PLATE 22606           235.20                      50        CENTRAL SUPPLY
5002951   S IMP BONE PLATE 22614           252.00                      50        CENTRAL SUPPLY
5002969   S IMP BONE PLATE 24005           187.25                      50        CENTRAL SUPPLY
5002977   S IMP BONE PLATE 24006           297.50                      50        CENTRAL SUPPLY
5003009   S IMP BONE PLATE 24018           346.50                      50        CENTRAL SUPPLY
5003017   S IMP BONE PLATE 24023           267.75                      50        CENTRAL SUPPLY
5003025   S IMP BONE PLATE 24024           280.00                      50        CENTRAL SUPPLY
5003033   S IMP BONE PLATE 24034           404.88                      50        CENTRAL SUPPLY
5003041   S IMP BONE PLATE 24044           364.56                      50        CENTRAL SUPPLY
5003058   S IMP BONE PLATE 24054           327.25                      50        CENTRAL SUPPLY
5003124   S IMP BONE PLATE 24107           114.24                      50        CENTRAL SUPPLY
5003140   S IMP BONE PLATE 24110           118.08                      50        CENTRAL SUPPLY
5003165   S IMP BONE PLATE 24114           143.04                      50        CENTRAL SUPPLY
5003173   S IMP BONE PLATE 24123           234.50                      50        CENTRAL SUPPLY
5003181   S IMP BONE PLATE 24125           203.00                      50        CENTRAL SUPPLY
5003108   S IMP BONE PLATE 24135           113.52                      50        CENTRAL SUPPLY
5003116   S IMP BONE PLATE 24136           114.24                      50        CENTRAL SUPPLY
5003132   S IMP BONE PLATE 24138           118.00                      50        CENTRAL SUPPLY
5003199   S IMP BONE PLATE 24213           108.62                      50        CENTRAL SUPPLY
5003207   S IMP BONE PLATE 24214            77.00                      50        CENTRAL SUPPLY
5003215   S IMP BONE PLATE 24215            96.93                      50        CENTRAL SUPPLY
5003231   S IMP BONE PLATE 24217            86.50                      50        CENTRAL SUPPLY
5003249   S IMP BONE PLATE 24218            49.50                      50        CENTRAL SUPPLY
5003256   S IMP BONE PLATE 24233            57.75                      50        CENTRAL SUPPLY
5003272   S IMP BONE PLATE 24241            30.25                      50        CENTRAL SUPPLY



                                                      Page 9
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5003280   S IMP BONE PLATE 24313            91.43                      50        CENTRAL SUPPLY
5003298   S IMP BONE PLATE 24314            63.25                      50        CENTRAL SUPPLY
5003306   S IMP BONE PLATE 24315            88.00                      50        CENTRAL SUPPLY
5003314   S IMP BONE PLATE 24333            85.25                      50        CENTRAL SUPPLY
5003348   S IMP BONE PLATE 24806           177.00                      50        CENTRAL SUPPLY
5003355   S IMP BONE PLATE 24807           184.00                      50        CENTRAL SUPPLY
5003363   S IMP BONE PLATE 24808           181.00                      50        CENTRAL SUPPLY
5003371   S IMP BONE PLATE 24810           138.00                      50        CENTRAL SUPPLY
5032107   S IMP BONE PLATE 6HOLES 2        985.25                      50        CENTRAL SUPPLY
5032099   S IMP BONE PLATESHORT 4HO        568.75                      50        CENTRAL SUPPLY
5032081   S IMP BONE PLATESTAND 4HO        584.64                      50        CENTRAL SUPPLY
5032057   S IMP BONE PLATESTAND 4HO        690.62                      50        CENTRAL SUPPLY
5032024   S IMP BONE PLATESTAND 4HO        584.64                      50        CENTRAL SUPPLY
5031992   S IMP BONE PLATESTAND 4HO        584.64                      50        CENTRAL SUPPLY
5031968   S IMP BONE PLATESTAND 4HO        568.75                      50        CENTRAL SUPPLY
5032065   S IMP BONE PLATESTAND 5HO        568.75                      50        CENTRAL SUPPLY
5032032   S IMP BONE PLATESTAND 5HO        546.00                      50        CENTRAL SUPPLY
5032008   S IMP BONE PLATESTAND 5HO        584.64                      50        CENTRAL SUPPLY
5031976   S IMP BONE PLATESTAND 5HO        568.75                      50        CENTRAL SUPPLY
5032073   S IMP BONE PLATESTAND 6HO        568.75                      50        CENTRAL SUPPLY
5032040   S IMP BONE PLATESTAND 6HO        568.75                      50        CENTRAL SUPPLY
5032016   S IMP BONE PLATESTAND 6HO        568.75                      50        CENTRAL SUPPLY
5031984   S IMP BONE PLATESTAND 6HO        568.75                      50        CENTRAL SUPPLY
5001177   S IMP BONE PLUG                  192.50                      50        CENTRAL SUPPLY
5001466   S IMP BONE POLAR STEM           7472.50                      50        CENTRAL SUPPLY
5028014   S IMP BONE SCR CANN              193.03                      50        CENTRAL SUPPLY
5031430   S IMP BONE SCR CANNUL 16         297.50                      50        CENTRAL SUPPLY
5031612   S IMP BONE SCR CANNUL 16M        318.50                      50        CENTRAL SUPPLY
5031604   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031596   S IMP BONE SCR CANNUL 16M        318.50                      50        CENTRAL SUPPLY
5031588   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031570   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031562   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031554   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031547   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031539   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031521   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031513   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031505   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031497   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031471   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY



                                                      Page 10
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5031463   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031455   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031448   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031422   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031414   S IMP BONE SCR CANNUL 16M        297.50                      50        CENTRAL SUPPLY
5031786   S IMP BONE SCR CANNUL 32M        318.50                      50        CENTRAL SUPPLY
5031778   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031760   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031752   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031745   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031737   S IMP BONE SCR CANNUL 32M        343.00                      50        CENTRAL SUPPLY
5031729   S IMP BONE SCR CANNUL 32M        343.00                      50        CENTRAL SUPPLY
5031711   S IMP BONE SCR CANNUL 32M        343.00                      50        CENTRAL SUPPLY
5031703   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031695   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031687   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031679   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031661   S IMP BONE SCR CANNUL 32M        369.25                      50        CENTRAL SUPPLY
5031653   S IMP BONE SCR CANNUL 32M        318.50                      50        CENTRAL SUPPLY
5031646   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031638   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031620   S IMP BONE SCR CANNUL 32M        297.50                      50        CENTRAL SUPPLY
5031950   S IMP BONE SCR COMP. 36MM         89.76                      50        CENTRAL SUPPLY
5031893   S IMP BONE SCR LAG 100MM         381.36                      50        CENTRAL SUPPLY
5031901   S IMP BONE SCR LAG 105MM         381.36                      50        CENTRAL SUPPLY
5031919   S IMP BONE SCR LAG 110MM         381.36                      50        CENTRAL SUPPLY
5031935   S IMP BONE SCR LAG 120MM         381.36                      50        CENTRAL SUPPLY
5031943   S IMP BONE SCR LAG 125MM         381.36                      50        CENTRAL SUPPLY
5031828   S IMP BONE SCR LAG 65MM 2        358.75                      50        CENTRAL SUPPLY
5031836   S IMP BONE SCR LAG 70MM 2        381.36                      50        CENTRAL SUPPLY
5031851   S IMP BONE SCR LAG 80MM 2        358.75                      50        CENTRAL SUPPLY
5031869   S IMP BONE SCR LAG 85MM 2        381.36                      50        CENTRAL SUPPLY
5031877   S IMP BONE SCR LAG 90MM 2        381.36                      50        CENTRAL SUPPLY
5031885   S IMP BONE SCR LAG 95MM 2        358.75                      50        CENTRAL SUPPLY
5032123   S IMP BONE SCR SELF-TAP 2         36.75                      50        CENTRAL SUPPLY
5032172   S IMP BONE SCR SELF-TAP 3         44.00                      50        CENTRAL SUPPLY
5032164   S IMP BONE SCR SELF-TAP 3         36.75                      50        CENTRAL SUPPLY
5032156   S IMP BONE SCR SELF-TAP 3         36.44                      50        CENTRAL SUPPLY
5032149   S IMP BONE SCR SELF-TAP 3         36.75                      50        CENTRAL SUPPLY
5032131   S IMP BONE SCR SELF-TAP 3         36.75                      50        CENTRAL SUPPLY
5032222   S IMP BONE SCR SELF-TAP 4         36.75                      50        CENTRAL SUPPLY



                                                      Page 11
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5032214   S IMP BONE SCR SELF-TAP 4         36.75                      50        CENTRAL SUPPLY
5032206   S IMP BONE SCR SELF-TAP 4         36.44                      50        CENTRAL SUPPLY
5032198   S IMP BONE SCR SELF-TAP 4         36.44                      50        CENTRAL SUPPLY
5032180   S IMP BONE SCR SELF-TAP 4         44.00                      50        CENTRAL SUPPLY
5032255   S IMP BONE SCR SELF-TAP 5         36.44                      50        CENTRAL SUPPLY
5032248   S IMP BONE SCR SELF-TAP 5         36.75                      50        CENTRAL SUPPLY
5032230   S IMP BONE SCR SELF-TAP 5         36.75                      50        CENTRAL SUPPLY
5004965   S IMP BONE SCREW                  36.44                      50        CENTRAL SUPPLY
5004957   S IMP BONE SCREW                  46.75                      50        CENTRAL SUPPLY
5004825   S IMP BONE SCREW                 274.75                      50        CENTRAL SUPPLY
5004783   S IMP BONE SCREW                  59.13                      50        CENTRAL SUPPLY
5004742   S IMP BONE SCREW                  34.65                      50        CENTRAL SUPPLY
5004569   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5004510   S IMP BONE SCREW                  16.35                      50        CENTRAL SUPPLY
5004494   S IMP BONE SCREW                  28.80                      50        CENTRAL SUPPLY
5004429   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5004395   S IMP BONE SCREW                  28.88                      50        CENTRAL SUPPLY
5004379   S IMP BONE SCREW                  26.10                      50        CENTRAL SUPPLY
5004361   S IMP BONE SCREW                  11.40                      50        CENTRAL SUPPLY
5004353   S IMP BONE SCREW                  35.75                      50        CENTRAL SUPPLY
5004346   S IMP BONE SCREW                  25.80                      50        CENTRAL SUPPLY
5004338   S IMP BONE SCREW                  17.25                      50        CENTRAL SUPPLY
5004320   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5004312   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5004270   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5004239   S IMP BONE SCREW                  44.68                      50        CENTRAL SUPPLY
5004221   S IMP BONE SCREW                  16.35                      50        CENTRAL SUPPLY
5004130   S IMP BONE SCREW                  16.35                      50        CENTRAL SUPPLY
5004114   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5004106   S IMP BONE SCREW                  28.80                      50        CENTRAL SUPPLY
5004056   S IMP BONE SCREW                  59.12                      50        CENTRAL SUPPLY
5004031   S IMP BONE SCREW                  49.50                      50        CENTRAL SUPPLY
5003959   S IMP BONE SCREW                  17.85                      50        CENTRAL SUPPLY
5003926   S IMP BONE SCREW                  28.80                      50        CENTRAL SUPPLY
5003918   S IMP BONE SCREW                  28.80                      50        CENTRAL SUPPLY
5003900   S IMP BONE SCREW                  35.07                      50        CENTRAL SUPPLY
5003827   S IMP BONE SCREW                  25.80                      50        CENTRAL SUPPLY
5003819   S IMP BONE SCREW                  18.00                      50        CENTRAL SUPPLY
5003785   S IMP BONE SCREW                  24.00                      50        CENTRAL SUPPLY
5003777   S IMP BONE SCREW                  11.70                      50        CENTRAL SUPPLY
5003769   S IMP BONE SCREW                  15.00                      50        CENTRAL SUPPLY



                                                      Page 12
                                     af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5003744   S IMP BONE SCREW                 18.00                      50        CENTRAL SUPPLY
5003702   S IMP BONE SCREW                 16.35                      50        CENTRAL SUPPLY
5003694   S IMP BONE SCREW                 13.05                      50        CENTRAL SUPPLY
5003637   S IMP BONE SCREW                 27.90                      50        CENTRAL SUPPLY
5003587   S IMP BONE SCREW                 18.00                      50        CENTRAL SUPPLY
5003579   S IMP BONE SCREW                 18.00                      50        CENTRAL SUPPLY
5003561   S IMP BONE SCREW                 18.00                      50        CENTRAL SUPPLY
5003553   S IMP BONE SCREW                 18.00                      50        CENTRAL SUPPLY
5032461   S IMP BONE SCREW                169.92                      50        CENTRAL SUPPLY
5032453   S IMP BONE SCREW                176.64                      50        CENTRAL SUPPLY
5032446   S IMP BONE SCREW                186.24                      50        CENTRAL SUPPLY
5032438   S IMP BONE SCREW                193.92                      50        CENTRAL SUPPLY
5032420   S IMP BONE SCREW                421.68                      50        CENTRAL SUPPLY
5032412   S IMP BONE SCREW                 54.31                      50        CENTRAL SUPPLY
5031398   S IMP BONE SCREW                 28.50                      50        CENTRAL SUPPLY
5024302   S IMP BONE SCREW                 41.94                      50        CENTRAL SUPPLY
5004304   S IMP BONE SCREW 218.055         59.13                      50        CENTRAL SUPPLY
5025044   S IMP BONE SCREW 218.060         59.13                      50        CENTRAL SUPPLY
5027693   S IMP BONE SCREW 35MM            59.12                      50        CENTRAL SUPPLY
5027701   S IMP BONE SCREW 55MM            50.87                      50        CENTRAL SUPPLY
5027719   S IMP BONE SCREW 90 MM           49.50                      50        CENTRAL SUPPLY
5005228   S IMP BONE SCREW ASNIS          343.00                      50        CENTRAL SUPPLY
5032909   S IMP BONE SCREW SCHANZ         213.36                      50        CENTRAL SUPPLY
5005194   S IMP BONE SCREW WASH            35.06                      50        CENTRAL SUPPLY
5005186   S IMP BONE SCREW WASH            45.00                      50        CENTRAL SUPPLY
5031794   S IMP BONE WASHER 13.0MM         47.52                      50        CENTRAL SUPPLY
5005541   S IMP BONE WIREK 0.35            10.67                      50        CENTRAL SUPPLY
5009477   S IMP CLOSURE VASC                7.58                      50        CENTRAL SUPPLY
5029541   S IMP CNNECTVE NOHUMAN          787.50                      50        CENTRAL SUPPLY
5033378   S IMP COAPTITE INJECT           367.50                      50        CENTRAL SUPPLY
5031182   S IMP COMPOSIX 12X12           3568.25                      50        CENTRAL SUPPLY
5031315   S IMP COMPOSIX 4X8              810.25                      50        CENTRAL SUPPLY
5031323   S IMP COMPOSIX 8X10            2376.50                      50        CENTRAL SUPPLY
5028956   S IMP CONNECTVE HUMAN          1137.50                      50        CENTRAL SUPPLY
5028758   S IMP CONNECTVE HUMAN           866.25                      50        CENTRAL SUPPLY
5027156   S IMP CONNECTVE HUMAN           346.50                      50        CENTRAL SUPPLY
5023130   S IMP CONTIGEN TREAT SYN        612.41                      50        CENTRAL SUPPLY
5032537   S IMP DUAL MESH PLUS           2282.00                      50        CENTRAL SUPPLY
5032529   S IMP DUAL MESH PLUS 1          819.00                      50        CENTRAL SUPPLY
5001458   S IMP FEMORAL CUP              1758.75                      50        CENTRAL SUPPLY
5030366   S IMP FN NL FEM 440             999.25                      50        CENTRAL SUPPLY



                                                     Page 13
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5032933   S IMP GORETEX                    465.50                      50        CENTRAL SUPPLY
5026919   S IMP GORETEX                    383.25                      50        CENTRAL SUPPLY
5032362   S IMP GRFT VSC HUM SA2004       1256.50                      50        CENTRAL SUPPLY
5032354   S IMP GRFT VSCR HUM S0604        721.00                      50        CENTRAL SUPPLY
5032347   S IMP GRFT VSCR HUM S0804        841.75                      50        CENTRAL SUPPLY
5032370   S IMP GRFT VSR HUM SA1804       1393.00                      50        CENTRAL SUPPLY
5029749   S IMP HD/PERITNL LNG TRM         374.39                      50        CENTRAL SUPPLY
5029731   S IMP HD/PERITNL LNG TRM         374.39                      50        CENTRAL SUPPLY
5026570   S IMP INFAST KIT W/O SLNG       2266.25                      50        CENTRAL SUPPLY
5033386   S IMP IOL EYE LENS               288.75                      50        CENTRAL SUPPLY
5012182   S IMP JNT                       4361.00                      50        CENTRAL SUPPLY
5001474   S IMP JNT                       1037.75                      50        CENTRAL SUPPLY
5001284   S IMP JNT                        380.28                      50        CENTRAL SUPPLY
5033824   S IMP KIT RNG SPPRT FLD          110.00                      50        CENTRAL SUPPLY
5033816   S IMP KIT RNG/W SPPRT FLD        110.00                      50        CENTRAL SUPPLY
5033808   S IMP KIT RNG/W SPPRT FLD        110.00                      50        CENTRAL SUPPLY
5033790   S IMP KIT RNG/W SPPRT FLD        110.00                      50        CENTRAL SUPPLY
5026661   S IMP KNITTED VICRYL 6X6         372.47                      50        CENTRAL SUPPLY
5024278   S IMP MACRPRT VEN AICC           399.00                      50        CENTRAL SUPPLY
5024682   S IMP MARLEX PERFIX PLUG         390.81                      50        CENTRAL SUPPLY
5024617   S IMP MARLEX PERFX PLG LG        398.51                      50        CENTRAL SUPPLY
5024609   S IMP MARLEX PERFX PLG MD        394.66                      50        CENTRAL SUPPLY
5029996   S IMP MARTIX 2X7                 743.75                      50        CENTRAL SUPPLY
5029988   S IMP MARTIX 4X7                 927.50                      50        CENTRAL SUPPLY
5025788   S IMP MENICUS ARRW 10            234.50                      50        CENTRAL SUPPLY
5025804   S IMP MENICUS ARRW 16            259.00                      50        CENTRAL SUPPLY
5025796   S IMP MENISCUS ARRW 13           266.00                      50        CENTRAL SUPPLY
5032784   S IMP MSH MED CRCL              1842.75                      50        CENTRAL SUPPLY
5032776   S IMP MSH SMLL CRCL              734.38                      50        CENTRAL SUPPLY
5029608   S IMP MYCRO 15X19               1139.25                      50        CENTRAL SUPPLY
5029616   S IMP MYCRO 20X30               2299.50                      50        CENTRAL SUPPLY
5029772   S IMP NOCOR WDEL SYS TMP         200.00                      50        CENTRAL SUPPLY
5029764   S IMP NOCOR WDEL SYS TMP         200.00                      50        CENTRAL SUPPLY
5031489   S IMP ONE SCR CANNUL 16MM        297.50                      50        CENTRAL SUPPLY
5031844   S IMP ONE SCR LAG 75MM 28        381.36                      50        CENTRAL SUPPLY
5026190   S IMP PIN STIEN 7/64 9            14.22                      50        CENTRAL SUPPLY
5033352   S IMP PLG MSH ANAL FISTLA       1487.50                      50        CENTRAL SUPPLY
5013883   S IMP POLYPRO MESH PM53          143.96                      50        CENTRAL SUPPLY
5013891   S IMP POLYPRO MESH PM54          343.40                      50        CENTRAL SUPPLY
5033865   S IMP PSRY GLHRN SIL FLEX        110.00                      50        CENTRAL SUPPLY
5033857   S IMP PSRY GLHRN SIL FLEX        110.00                      50        CENTRAL SUPPLY



                                                      Page 14
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5033840   S IMP PSRY GLHRN SIL FLEX        110.00                      50        CENTRAL SUPPLY
5027651   S IMP RUSH TYPE NAILS            112.00                      50        CENTRAL SUPPLY
5026208   S IMP STEINMN PIN 3/32            14.22                      50        CENTRAL SUPPLY
5018007   S IMP TISSURE ATTACHMENT         332.50                      50        CENTRAL SUPPLY
5025341   S IMP TISU ALGRFT CNCL           743.75                      50        CENTRAL SUPPLY
5029624   S IMP VASCULAR                    64.63                      50        CENTRAL SUPPLY
5026836   S IMP VENA CAVA FILTER          1429.75                      50        CENTRAL SUPPLY
5032594   S IOL EYE CAP TEN RNG 14         313.25                      50        CENTRAL SUPPLY
5032578   S IOL EYE CAP TEN RNG 14A        313.25                      50        CENTRAL SUPPLY
5032586   S IOL EYE CAP TEN RNG 14C        313.25                      50        CENTRAL SUPPLY
5010301   S IOL EYE LENS MZ SERIES         240.19                      50        CENTRAL SUPPLY
5026505   S IOL EYE LENS MZ60CD X M        120.00                      50        CENTRAL SUPPLY
5010293   S IOL EYE LENS SERMA60BM         234.50                      50        CENTRAL SUPPLY
5033303   S IOL EYE LENS SN60WF            260.75                      50        CENTRAL SUPPLY
5000096   S NSTRL AEROCHAMBER ADL           14.05                      50        CENTRAL SUPPLY
5000104   S NSTRL AEROCHMBER PED            45.93                      50        CENTRAL SUPPLY
5000112   S NSTRL AEROVENT                   2.70                      50        CENTRAL SUPPLY
5000179   S NSTRL AMBU-BAG                  54.15                      50        CENTRAL SUPPLY
5028840   S NSTRL AMBU-BAG                  54.06                      50        CENTRAL SUPPLY
5024567   S NSTRL AMBU-BAG INFNT            34.49                      50        CENTRAL SUPPLY
5000187   S NSTRL AMBU-BAG PEDI             60.34                      50        CENTRAL SUPPLY
5033220   S NSTRL ARMSLING CHLD             13.44                      50        CENTRAL SUPPLY
5000823   S NSTRL BILE BAGS 1585            14.49                      50        CENTRAL SUPPLY
5026000   S NSTRL BILI BNNT/PHTO             8.25                      50        CENTRAL SUPPLY
5023122   S NSTRL BLNKT WM LW BDY           40.56                      50        CENTRAL SUPPLY
5000997   S NSTRL BLNKT WRM FUL             29.56                      50        CENTRAL SUPPLY
5001003   S NSTRL BLNKT WRM UP BD           25.32                      50        CENTRAL SUPPLY
5032818   S NSTRL BRACE WRIST 6"            41.22                      50        CENTRAL SUPPLY
5005632   S NSTRL BREAST PUMP 28905         43.91                      50        CENTRAL SUPPLY
5005624   S NSTRL BREAST PUMP KIT           66.00                      50        CENTRAL SUPPLY
5032487   S NSTRL CATH PEZZER 24FR          20.31                      50        CENTRAL SUPPLY
5032495   S NSTRL CATH PEZZER 26FR          20.31                      50        CENTRAL SUPPLY
5007828   S NSTRL CATH-SECURE                4.29                      50        CENTRAL SUPPLY
5008578   S NSTRL CNCT LNS RMV SF           11.37                      50        CENTRAL SUPPLY
5008560   S NSTRL CNTC LNS RMV HD            4.60                      50        CENTRAL SUPPLY
5025010   S NSTRL COL BAG 1 3/4"             4.92                      50        CENTRAL SUPPLY
5008271   S NSTRL COL BAG DRA                4.52                      50        CENTRAL SUPPLY
5008289   S NSTRL COL DRAIN PCH              5.67                      50        CENTRAL SUPPLY
5008297   S NSTRL COL DRAIN POUCH            6.06                      50        CENTRAL SUPPLY
5008313   S NSTRL COL DURAHESV              20.05                      50        CENTRAL SUPPLY
5008305   S NSTRL COL DURAHESV               7.29                      50        CENTRAL SUPPLY



                                                      Page 15
                                     af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5025028   S NSTRL COL FLANGE AHES          13.18                      50        CENTRAL SUPPLY
5008362   S NSTRL COL LP OST               28.56                      50        CENTRAL SUPPLY
5008354   S NSTRL COL LP OST2-3/4          43.16                      50        CENTRAL SUPPLY
5008370   S NSTRL COL PASTE                21.63                      50        CENTRAL SUPPLY
5008396   S NSTRL COL POWDER               15.13                      50        CENTRAL SUPPLY
5008404   S NSTRL COL SKN BAR 4X4           6.81                      50        CENTRAL SUPPLY
5008438   S NSTRL COL TAIL CLS              3.78                      50        CENTRAL SUPPLY
5029517   S NSTRL COLD PAD                123.48                      50        CENTRAL SUPPLY
5008453   S NSTRL COL-ILED SET             47.60                      50        CENTRAL SUPPLY
5028881   S NSTRL CRY CMPRS LG KN          99.00                      50        CENTRAL SUPPLY
5025960   S NSTRL CTH PEZZER 18F           24.64                      50        CENTRAL SUPPLY
5025978   S NSTRL CTH PEZZER 22F           29.85                      50        CENTRAL SUPPLY
5019914   S NSTRL DSP COLECTN SET          20.40                      50        CENTRAL SUPPLY
5019799   S NSTRL DSP SUC EVAC TP           8.20                      50        CENTRAL SUPPLY
5029640   S NSTRL DSP-O-TNT 18X18          45.54                      50        CENTRAL SUPPLY
5025119   S NSTRL ELST STCK KN XL          10.59                      50        CENTRAL SUPPLY
5009980   S NSTRL ELST STK KN LG           10.20                      50        CENTRAL SUPPLY
5009998   S NSTRL ELST STK KN MD            9.73                      50        CENTRAL SUPPLY
5010004   S NSTRL ELST STK KN SM            7.67                      50        CENTRAL SUPPLY
5026745   S NSTRL ELST STK KN XL            9.60                      50        CENTRAL SUPPLY
5010012   S NSTRL ELST STK KN XLG           8.52                      50        CENTRAL SUPPLY
5010038   S NSTRL ELST STK TH DM           18.63                      50        CENTRAL SUPPLY
5010020   S NSTRL ELST STK TH LG           18.63                      50        CENTRAL SUPPLY
5010046   S NSTRL ELST STK TH SM           18.70                      50        CENTRAL SUPPLY
5010087   S NSTRL ENEMA FLEETS OIL          3.09                      50        CENTRAL SUPPLY
5010095   S NSTRL ENEMA FLEETS REG          2.35                      50        CENTRAL SUPPLY
5010137   S NSTRL ESOPH STETH              14.73                      50        CENTRAL SUPPLY
5010129   S NSTRL ESOPH STETH               7.47                      50        CENTRAL SUPPLY
5025184   S NSTRL ESOPH STETH 12F           8.53                      50        CENTRAL SUPPLY
5025192   S NSTRL ESOPH STETH 18F           9.06                      50        CENTRAL SUPPLY
5029525   S NSTRL EXT TBE/CONNEC            3.80                      50        CENTRAL SUPPLY
5029475   S NSTRL EYE SPHERE SZ10          28.80                      50        CENTRAL SUPPLY
5029483   S NSTRL EYE SPHERE SZ12          28.80                      50        CENTRAL SUPPLY
5029491   S NSTRL EYE SPHERE SZ20          28.80                      50        CENTRAL SUPPLY
5029509   S NSTRL EYE SPHERE SZ22          28.80                      50        CENTRAL SUPPLY
5021415   S NSTRL FRCP ALLIGATATOR         55.00                      50        CENTRAL SUPPLY
5010657   S NSTRL GAST LAV KT              45.23                      50        CENTRAL SUPPLY
5010681   S NSTRL GAST LAV TB 28           27.78                      50        CENTRAL SUPPLY
5010665   S NSTRL GAST LAV TB 34F          19.80                      50        CENTRAL SUPPLY
5010673   S NSTRL GAST LAV TB 40F          20.43                      50        CENTRAL SUPPLY
5010889   S NSTRL GRND PAD THERMO           8.46                      50        CENTRAL SUPPLY



                                                     Page 16
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5021282   S NSTRL GRNDG PAD SINGL            6.39                      50        CENTRAL SUPPLY
5021290   S NSTRL GRNDNG PAD PEDI           12.39                      50        CENTRAL SUPPLY
5025846   S NSTRL JURG PN BAL RFL           12.99                      50        CENTRAL SUPPLY
5025838   S NSTRL JURG PN BAL RFL           12.99                      50        CENTRAL SUPPLY
5029442   S NSTRL MASK FACE RESUS            8.10                      50        CENTRAL SUPPLY
5012307   S NSTRL NASAL CNLA 1600            2.75                      50        CENTRAL SUPPLY
5032339   S NSTRL NASAL CNLA ADULT          12.60                      50        CENTRAL SUPPLY
5012455   S NSTRL NEB INSP 2305              4.38                      50        CENTRAL SUPPLY
5023114   S NSTRL NEB ISO FILT              13.21                      50        CENTRAL SUPPLY
5012448   S NSTRL NEB VIX MGNA-7             1.98                      50        CENTRAL SUPPLY
5028717   S NSTRL NEBLIZER BREATH           13.65                      50        CENTRAL SUPPLY
5026786   S NSTRL NEBULIZER HOPE            30.06                      50        CENTRAL SUPPLY
5032321   S NSTRL NSL CNLA W/ ADPAT         45.00                      50        CENTRAL SUPPLY
5013024   S NSTRL OXISNR DIG D25            33.30                      50        CENTRAL SUPPLY
5013040   S NSTRL OXISNR NAS CR15           45.05                      50        CENTRAL SUPPLY
5013057   S NSTRL OXISNR NEW N25            43.30                      50        CENTRAL SUPPLY
5013016   S NSTRL OXISNR PEDI D20           28.88                      50        CENTRAL SUPPLY
5013073   S NSTRL OXY CNLA 1101PD            7.02                      50        CENTRAL SUPPLY
5013131   S NSTRL OXY INSPIROM               9.72                      50        CENTRAL SUPPLY
5013149   S NSTRL OXY IPPB CIR               4.82                      50        CENTRAL SUPPLY
5013248   S NSTRL OXY MASK 1085              1.70                      50        CENTRAL SUPPLY
5013255   S NSTRL OXY MASK 1201              1.86                      50        CENTRAL SUPPLY
5013164   S NSTRL OXY MSK ARS1083            1.16                      50        CENTRAL SUPPLY
5013198   S NSTRL OXY MSK MLT1088            3.98                      50        CENTRAL SUPPLY
5013214   S NSTRL OXY MSK PED1042            2.15                      50        CENTRAL SUPPLY
5013222   S NSTRL OXY MSK PED1060            4.17                      50        CENTRAL SUPPLY
5013230   S NSTRL OXY MSK TRAC               2.25                      50        CENTRAL SUPPLY
5013321   S NSTRL OXY TENT CANPY            22.08                      50        CENTRAL SUPPLY
5013388   S NSTRL OXY VENT THERM             5.46                      50        CENTRAL SUPPLY
5032263   S NSTRL OXYCNLA 4707F ADL         12.00                      50        CENTRAL SUPPLY
5033311   S NSTRL OXYGEN BIPAP MASK         88.36                      50        CENTRAL SUPPLY
5033253   S NSTRL OXYGEN BIPAP MSK          88.36                      50        CENTRAL SUPPLY
5032990   S NSTRL OXYGEN BIPAP MSK          50.57                      50        CENTRAL SUPPLY
5029855   S NSTRL OXYGEN BIPAP MSK          80.43                      50        CENTRAL SUPPLY
5029848   S NSTRL OXYGEN BIPAP MSK          88.41                      50        CENTRAL SUPPLY
5029822   S NSTRL OXYGEN BIPAP MSK          48.94                      50        CENTRAL SUPPLY
5029814   S NSTRL OXYGEN BIPAP MSK          48.94                      50        CENTRAL SUPPLY
5013396   S NSTRL OXYMZR CAN/PEND           33.70                      50        CENTRAL SUPPLY
5013685   S NSTRL PEAK FLOW METER           43.98                      50        CENTRAL SUPPLY
5033576   S NSTRL PUMP SET FELXIFLW          3.75                      50        CENTRAL SUPPLY
5012851   S NSTRL SAILNE 5ML                 7.60                      50        CENTRAL SUPPLY



                                                      Page 17
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5028949   S NSTRL SCD SLEEVE KNEE           77.29                      50        CENTRAL SUPPLY
5028931   S NSTRL SCD SLVES THGH            99.35                      50        CENTRAL SUPPLY
5016068   S NSTRL STYLET (ET TB)             7.95                      50        CENTRAL SUPPLY
5021332   S NSTRL TB END LFT 31F           196.00                      50        CENTRAL SUPPLY
5021324   S NSTRL TB END LFT 35F           187.60                      50        CENTRAL SUPPLY
5021357   S NSTRL TB END RGHT 31F          195.14                      50        CENTRAL SUPPLY
5021340   S NSTRL TB END RGHT 35F          195.14                      50        CENTRAL SUPPLY
5019146   S NSTRL TB RECTAL PK41             1.62                      50        CENTRAL SUPPLY
5025242   S NSTRL TB TRACH EX 9            132.00                      50        CENTRAL SUPPLY
5025879   S NSTRL TB TRACH MTL #5          194.40                      50        CENTRAL SUPPLY
5025895   S NSTRL TB TRACH MTL #6          188.44                      50        CENTRAL SUPPLY
5025200   S NSTRL TB TRACH MTL 4           191.40                      50        CENTRAL SUPPLY
5025218   S NSTRL TB TRACH NEO 3.          195.80                      50        CENTRAL SUPPLY
5011473   S NSTRL TBE RCTL IRG             158.00                      50        CENTRAL SUPPLY
5025226   S NSTRL TBE/TRCH JCKSN           183.75                      50        CENTRAL SUPPLY
5032800   S NSTRL TENNIS ELVOW SUPP          9.90                      50        CENTRAL SUPPLY
5020714   S NSTRL THIGH GRMNT STN          104.00                      50        CENTRAL SUPPLY
5023205   S NSTRL TRACHOST CLLR L            5.04                      50        CENTRAL SUPPLY
5023197   S NSTRL TRACHOST CLLR M            6.24                      50        CENTRAL SUPPLY
5013727   S NSTRL TRY PERITNL LAU          129.50                      50        CENTRAL SUPPLY
5029830   S NSTRL TUBE BIPAP NONINV         24.75                      50        CENTRAL SUPPLY
5021613   S NSTRL TUBE FOUR LUMEN          628.82                      50        CENTRAL SUPPLY
5019963   S NSTRL VALVE ADJST PEE           13.59                      50        CENTRAL SUPPLY
5029863   S NSTRL VALVE BIPAP ADJST         15.90                      50        CENTRAL SUPPLY
5020250   S NSTRL VENT CIRCUIT              28.30                      50        CENTRAL SUPPLY
5020243   S NSTRL VENT CIRCUIT              30.91                      50        CENTRAL SUPPLY
5029418   S NSTRL VNT CIRCUT UNIV           19.02                      50        CENTRAL SUPPLY
5000435   S ORTHO ARM SLING 6676-12         15.75                      50        CENTRAL SUPPLY
5000336   S ORTHO ARM SLING CR              15.75                      50        CENTRAL SUPPLY
5000369   S ORTHO ARM SLING EN              11.79                      50        CENTRAL SUPPLY
5000393   S ORTHO ARM SLING OP               8.88                      50        CENTRAL SUPPLY
5000385   S ORTHO ARM SLING OP              10.58                      50        CENTRAL SUPPLY
5000419   S ORTHO ARM SLING TRI J&J          3.81                      50        CENTRAL SUPPLY
5032297   S ORTHO ARMSLING                  13.35                      50        CENTRAL SUPPLY
5000450   S ORTHO ARMSLING 668320            8.88                      50        CENTRAL SUPPLY
5000344   S ORTHO ARMSLING CRADLE L         15.75                      50        CENTRAL SUPPLY
5000443   S ORTHO ARMSLING OPEN SM           8.47                      50        CENTRAL SUPPLY
5033774   S ORTHO BN EXT FIX SCRN          128.64                      50        CENTRAL SUPPLY
5005939   S ORTHO CAST SHOE 1989-05         11.70                      50        CENTRAL SUPPLY
5005897   S ORTHO CAST SHOE EC              11.70                      50        CENTRAL SUPPLY
5005905   S ORTHO CAST SHOE LG              32.59                      50        CENTRAL SUPPLY



                                                      Page 18
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5005913   S ORTHO CAST SHOE MD              32.58                      50        CENTRAL SUPPLY
5005921   S ORTHO CAST SHOE SM              29.15                      50        CENTRAL SUPPLY
5005814   S ORTHO CAST/SPLNT ARM AD        110.00                      50        CENTRAL SUPPLY
5005822   S ORTHO CAST/SPLNT ARM CH         60.00                      50        CENTRAL SUPPLY
5005855   S ORTHO CAST/SPLNT LEG AD         35.20                      50        CENTRAL SUPPLY
5005863   S ORTHO CAST/SPLNT LEG CH         26.50                      50        CENTRAL SUPPLY
5008016   S ORTHO CERV COLLAR LONG          29.40                      50        CENTRAL SUPPLY
5008032   S ORTHO CERV COLR                 29.40                      50        CENTRAL SUPPLY
5008024   S ORTHO CERV COLR                 29.40                      50        CENTRAL SUPPLY
5008008   S ORTHO CERV COLR                 73.83                      50        CENTRAL SUPPLY
5007950   S ORTHO CERV COLR NONECK          46.61                      50        CENTRAL SUPPLY
5007968   S ORTHO CERV COLR PH PED          39.87                      50        CENTRAL SUPPLY
5007992   S ORTHO CERV COLR PHIL/MD         70.27                      50        CENTRAL SUPPLY
5007984   S ORTHO CERV COLR PHIL/SM         64.05                      50        CENTRAL SUPPLY
5008131   S ORTHO CLAV STRAP 340012         18.09                      50        CENTRAL SUPPLY
5008149   S ORTHO CLAV STRAP 340014         25.65                      50        CENTRAL SUPPLY
5008156   S ORTHO CLAV STRAP 340016         22.05                      50        CENTRAL SUPPLY
5005830   S ORTHO CST/SPLNT HND ADL         17.60                      50        CENTRAL SUPPLY
5026323   S ORTHO HAND-AID ART WRST         27.75                      50        CENTRAL SUPPLY
5026331   S ORTHO LUMBO SACRL SPRT         116.87                      50        CENTRAL SUPPLY
5011986   S ORTHO LUMBO-SACRAL SPRT        123.75                      50        CENTRAL SUPPLY
5013826   S ORTHO PLAST ARM/ELBW AD         45.00                      50        CENTRAL SUPPLY
5013842   S ORTHO PLASTER SPLINTS           26.50                      50        CENTRAL SUPPLY
5014360   S ORTHO RIB BELT M 320110         18.00                      50        CENTRAL SUPPLY
5014378   S ORTHO RIB BELT M 320112         16.50                      50        CENTRAL SUPPLY
5014584   S ORTHO SHOE POST OP MN L         31.08                      50        CENTRAL SUPPLY
5014543   S ORTHO SHOE POST OP MN L         29.57                      50        CENTRAL SUPPLY
5014576   S ORTHO SHOE POST OP WN S         29.58                      50        CENTRAL SUPPLY
5014592   S ORTHO SHOE PST OP               27.77                      50        CENTRAL SUPPLY
5014568   S ORTHO SHOE PST OP               31.07                      50        CENTRAL SUPPLY
5014550   S ORTHO SHOE PST OP               12.39                      50        CENTRAL SUPPLY
5014659   S ORTHO SHOULDER IMM              33.00                      50        CENTRAL SUPPLY
5014642   S ORTHO SHOULDER IMM              33.00                      50        CENTRAL SUPPLY
5014634   S ORTHO SHOULDER IMM              23.10                      50        CENTRAL SUPPLY
5014626   S ORTHO SHOULDER IMM              27.54                      50        CENTRAL SUPPLY
5014618   S ORTHO SHOULDER IMM ABDC        105.50                      50        CENTRAL SUPPLY
5015003   S ORTHO SPICA CAST               375.00                      50        CENTRAL SUPPLY
5015011   S ORTHO SPINL ANEST 4501C         54.60                      50        CENTRAL SUPPLY
5015086   S ORTHO SPLINT ANK O2-A L         72.88                      50        CENTRAL SUPPLY
5015094   S ORTHO SPLINT ANK O2-CL          72.88                      50        CENTRAL SUPPLY
5015185   S ORTHO SPLINT CKUP               32.59                      50        CENTRAL SUPPLY



                                                      Page 19
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5015151   S ORTHO SPLINT CKUP 77903         32.59                      50        CENTRAL SUPPLY
5015169   S ORTHO SPLINT CKUP 79901         35.58                      50        CENTRAL SUPPLY
5015177   S ORTHO SPLINT CKUP 79902         32.59                      50        CENTRAL SUPPLY
5015193   S ORTHO SPLINT CKUP 79905         32.59                      50        CENTRAL SUPPLY
5015201   S ORTHO SPLINT CKUP 79906         32.59                      50        CENTRAL SUPPLY
5015227   S ORTHO SPLINT CKUP 79908         32.59                      50        CENTRAL SUPPLY
5015219   S ORTHO SPLINT COCK UP            15.54                      50        CENTRAL SUPPLY
5015292   S ORTHO SPLINT COLS               23.31                      50        CENTRAL SUPPLY
5015276   S ORTHO SPLINT COLS               24.00                      50        CENTRAL SUPPLY
5015268   S ORTHO SPLINT COLS               19.80                      50        CENTRAL SUPPLY
5015250   S ORTHO SPLINT COLS               29.15                      50        CENTRAL SUPPLY
5015243   S ORTHO SPLINT COLS               12.99                      50        CENTRAL SUPPLY
5015235   S ORTHO SPLINT COLS               12.99                      50        CENTRAL SUPPLY
5015359   S ORTHO SPLINT FIN 54802           5.10                      50        CENTRAL SUPPLY
5015367   S ORTHO SPLINT FIN 54805           3.53                      50        CENTRAL SUPPLY
5015383   S ORTHO SPLINT FIN 661702          4.71                      50        CENTRAL SUPPLY
5015391   S ORTHO SPLINT FIN 661703          4.92                      50        CENTRAL SUPPLY
5015409   S ORTHO SPLINT FIN 661704          3.90                      50        CENTRAL SUPPLY
5015417   S ORTHO SPLINT FIN 661705          5.31                      50        CENTRAL SUPPLY
5015441   S ORTHO SPLINT FIN 662501          9.97                      50        CENTRAL SUPPLY
5015458   S ORTHO SPLINT FIN 662502          9.00                      50        CENTRAL SUPPLY
5015466   S ORTHO SPLINT FIN 662503          8.46                      50        CENTRAL SUPPLY
5015474   S ORTHO SPLINT KEN                89.37                      50        CENTRAL SUPPLY
5015482   S ORTHO SPLINT KNEE MD 12         70.81                      50        CENTRAL SUPPLY
5025317   S ORTHO SPLINT THERMOPLAS         15.27                      50        CENTRAL SUPPLY
5022132   S ORTHO SPLINT WRST CNTR          28.07                      50        CENTRAL SUPPLY
5015300   S ORTHO SPLNT COLS AD RT          23.31                      50        CENTRAL SUPPLY
5015284   S ORTHO SPLNT COLS YTH RT         23.31                      50        CENTRAL SUPPLY
5016381   S ORTHO SURG BIND F               29.06                      50        CENTRAL SUPPLY
5016407   S ORTHO SURG BIND M               27.00                      50        CENTRAL SUPPLY
5026018   S ORTHO THMB SPICA BRACE          81.81                      50        CENTRAL SUPPLY
5031273   S ORTHO THMB SPICA BRACE          71.50                      50        CENTRAL SUPPLY
5031265   S ORTHO THMB SPICA BRACE          71.50                      50        CENTRAL SUPPLY
5031257   S ORTHO THMB SPICA BRACE          81.82                      50        CENTRAL SUPPLY
5031240   S ORTHO THMB SPICA BRACE          81.81                      50        CENTRAL SUPPLY
5031232   S ORTHO THMB SPICA BRACE          71.50                      50        CENTRAL SUPPLY
5031224   S ORTHO THMB SPICA BRACE          81.81                      50        CENTRAL SUPPLY
5031216   S ORTHO THMB SPICA BRACE          81.81                      50        CENTRAL SUPPLY
5031208   S ORTHO THMB SPICA BRACE          81.82                      50        CENTRAL SUPPLY
5018429   S ORTHO TRACT SPLNT               46.12                      50        CENTRAL SUPPLY
5018411   S ORTHO TRACT SPLNT               46.11                      50        CENTRAL SUPPLY



                                                      Page 20
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5018403   S ORTHO TRACT SPLNT               46.11                      50        CENTRAL SUPPLY
5018395   S ORTHO TRACT SPLNT               32.45                      50        CENTRAL SUPPLY
5018387   S ORTHO TRACT SPLNT               64.57                      50        CENTRAL SUPPLY
5026869   S PROS MIDDLE EAR PAR            397.25                      50        CENTRAL SUPPLY
5026877   S PROS MIDDLE EAR TAT            292.50                      50        CENTRAL SUPPLY
5033030   S STRL 1.0MM CBLE W/CRIMP        603.12                      50        CENTRAL SUPPLY
5033048   S STRL 1.7MM CBLE W/CRIMP        603.12                      50        CENTRAL SUPPLY
5023494   S STRL ABCES DRAIN ST 10F        299.25                      50        CENTRAL SUPPLY
5023478   S STRL ABCES DRAIN ST 8 F        299.25                      50        CENTRAL SUPPLY
5000039   S STRL ACTIVE CORD DISP           53.62                      50        CENTRAL SUPPLY
5000070   S STRL ADAPTIC DRESS 3X3           0.98                      50        CENTRAL SUPPLY
5000088   S STRL ADAPTIC DRESS 3X8           4.37                      50        CENTRAL SUPPLY
5022884   S STRL AGRES MNISCUS CUT         158.00                      50        CENTRAL SUPPLY
5031406   S STRL ARTHRO BEVEL 60X30        264.25                      50        CENTRAL SUPPLY
5028741   S STRL ARTHRO MULTI VC 50        325.50                      50        CENTRAL SUPPLY
5028733   S STRL ARTHRO TURBO VC 90        325.50                      50        CENTRAL SUPPLY
5031380   S STRL ARTHRO TYPE 80            313.25                      50        CENTRAL SUPPLY
5032479   S STRL ARTRL LINE KIT             64.07                      50        CENTRAL SUPPLY
5029889   S STRL AVITEN ULTRA FOAM          70.10                      50        CENTRAL SUPPLY
5000674   S STRL BANDAGE ESMARK 4"          28.71                      50        CENTRAL SUPPLY
5000682   S STRL BANDAGE ESMARK 6"          10.17                      50        CENTRAL SUPPLY
5021852   S STRL BIOP FRCP ALLIGATR         33.00                      50        CENTRAL SUPPLY
5024039   S STRL BIOP FRCP HOT DISP         74.25                      50        CENTRAL SUPPLY
5024450   S STRL BIOP GUN FOR BREST        107.25                      50        CENTRAL SUPPLY
5032560   S STRL BIOPSY PUNCH TRAY          21.73                      50        CENTRAL SUPPLY
5025929   S STRL BLADE #22                   3.75                      50        CENTRAL SUPPLY
5025556   S STRL BLADE AGGRESIVE           171.12                      50        CENTRAL SUPPLY
5000898   S STRL BLADE BEAVER EYE           36.66                      50        CENTRAL SUPPLY
5032289   S STRL BLADE CRESCEMTIC          198.80                      50        CENTRAL SUPPLY
5025622   S STRL BLADE CRESCENTIC           82.50                      50        CENTRAL SUPPLY
5022736   S STRL BLADE DEEP CUTTING        125.32                      50        CENTRAL SUPPLY
5022546   S STRL BLADE DIAMOND BUR         118.96                      50        CENTRAL SUPPLY
5032313   S STRL BLADE KNIFE COLD          202.30                      50        CENTRAL SUPPLY
5022900   S STRL BLADE NARROW THICK        125.32                      50        CENTRAL SUPPLY
5032545   S STRL BLADE SAW OSCILTNG        102.03                      50        CENTRAL SUPPLY
5022678   S STRL BLADE SPEAR TIP            17.69                      50        CENTRAL SUPPLY
5023007   S STRL BLADE SURG #10              1.11                      50        CENTRAL SUPPLY
5023015   S STRL BLADE SURG #11              1.11                      50        CENTRAL SUPPLY
5023023   S STRL BLADE SURG #15              1.11                      50        CENTRAL SUPPLY
5024310   S STRL BLADE ULTRA CLEAN          22.50                      50        CENTRAL SUPPLY
5022611   S STRL BLADES BEAVER 4710          8.25                      50        CENTRAL SUPPLY



                                                      Page 21
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5022603   S STRL BLADES BEAVER 4810          8.25                      50        CENTRAL SUPPLY
5022595   S STRL BLADES BEAVER 6400          6.96                      50        CENTRAL SUPPLY
5022587   S STRL BLADES BEAVER 9700         50.07                      50        CENTRAL SUPPLY
5028709   S STRL BLD FLD WRM HG FLW        115.50                      50        CENTRAL SUPPLY
5023569   S STRL BLD FST CUT 608_6         109.74                      50        CENTRAL SUPPLY
5022512   S STRL BLD FST CUTG BUR          117.18                      50        CENTRAL SUPPLY
5022504   S STRL BLD FST CUTG BUR          117.18                      50        CENTRAL SUPPLY
5025036   S STRL BLD SAW OSCIL CO           96.25                      50        CENTRAL SUPPLY
5029939   S STRL BLD SURECUT 0              49.50                      50        CENTRAL SUPPLY
5001011   S STRL BLD W COIL46630101         16.67                      50        CENTRAL SUPPLY
5025564   S STRL BLDE AGGRESVE 4.0         171.12                      50        CENTRAL SUPPLY
5022462   S STRL BLDE AGRSV PLS ANG        136.00                      50        CENTRAL SUPPLY
5022413   S STRL BLDE BEVR MNI 6900         22.65                      50        CENTRAL SUPPLY
5021779   S STRL BLDE CAUTRY INS TP          5.70                      50        CENTRAL SUPPLY
5000906   S STRL BLDE CRST/HOOK 3M         105.87                      50        CENTRAL SUPPLY
5022744   S STRL BLDE DEEP CUT NARW        100.98                      50        CENTRAL SUPPLY
5026992   S STRL BLDE ELECTR EXTND          72.03                      50        CENTRAL SUPPLY
5022520   S STRL BLDE FST CUTNG BUR        112.75                      50        CENTRAL SUPPLY
5022538   S STRL BLDE POLISHNG BUR         110.00                      50        CENTRAL SUPPLY
5025671   S STRL BLDE RECEPROCATING         58.30                      50        CENTRAL SUPPLY
5023528   S STRL BLDE RND BURR AGG         164.00                      50        CENTRAL SUPPLY
5033063   S STRL BLDE SAG D CYT 90M        112.50                      50        CENTRAL SUPPLY
5023320   S STRL BLDE SAGIT 9. 2296         82.50                      50        CENTRAL SUPPLY
5023882   S STRL BLDE SAGITL X-THCK         88.00                      50        CENTRAL SUPPLY
5023551   S STRL BLDE SAW 2296-3410         96.80                      50        CENTRAL SUPPLY
5023544   S STRL BLDE SAW 2296-3414         82.50                      50        CENTRAL SUPPLY
5022751   S STRL BLDE SAW 296-34105        107.42                      50        CENTRAL SUPPLY
5029434   S STRL BLDE SAW OSCILTNG          82.50                      50        CENTRAL SUPPLY
5026240   S STRL BLDE SAW OSCILTNG         133.65                      50        CENTRAL SUPPLY
5025689   S STRL BLDE SAW OSCILTNG          96.25                      50        CENTRAL SUPPLY
5025325   S STRL BLDE SAW OSCILTNG          38.77                      50        CENTRAL SUPPLY
5026091   S STRL BLDE SAW RCIPROCTG         66.00                      50        CENTRAL SUPPLY
5029954   S STRL BLDE SURECUT 2             49.50                      50        CENTRAL SUPPLY
5029962   S STRL BLDE SURECUT 3             49.50                      50        CENTRAL SUPPLY
5029970   S STRL BLDE SURECUT 4             49.50                      50        CENTRAL SUPPLY
5029947   S STRL BLDE SURECUT SIZE          49.50                      50        CENTRAL SUPPLY
5031331   S STRL BLDE SW                   107.80                      50        CENTRAL SUPPLY
5023338   S STRL BLDE SW MD NRW 229         82.50                      50        CENTRAL SUPPLY
5031349   S STRL BLDE SW OSCIL             108.00                      50        CENTRAL SUPPLY
5023346   S STRL BLDE SW OSCIL 2296         82.50                      50        CENTRAL SUPPLY
5029111   S STRL BLDE SW SHRT X-NRW         82.50                      50        CENTRAL SUPPLY



                                                      Page 22
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5033469   S STRL BLE AGGSIVE 4.0           155.14                      50        CENTRAL SUPPLY
5033485   S STRL BLE AGGSIVE 5.0           148.80                      50        CENTRAL SUPPLY
5033451   S STRL BLE RESECTOR 4.0          148.80                      50        CENTRAL SUPPLY
5033444   S STRL BLE RESECTOR 5.0          148.80                      50        CENTRAL SUPPLY
5020755   S STRL BLN DILATE NONVSC         525.00                      50        CENTRAL SUPPLY
5025937   S STRL BN CBLE COBLT CHR         558.25                      50        CENTRAL SUPPLY
5028105   S STRL BN GDWRE NONTH 150         46.75                      50        CENTRAL SUPPLY
5028097   S STRL BN GIDEWR THR 150          53.63                      50        CENTRAL SUPPLY
5022181   S STRL BN HIP FIX 1181-20         56.10                      50        CENTRAL SUPPLY
5032875   S STRL BN K WIRE 492.20           20.88                      50        CENTRAL SUPPLY
5026182   S STRL BN K WRE 1.6 X150          22.11                      50        CENTRAL SUPPLY
5029194   S STRL BN OPTIVAC TTL HIP        216.57                      50        CENTRAL SUPPLY
5021720   S STRL BN SHOULDR CANNULA         57.75                      50        CENTRAL SUPPLY
5028899   S STRL BONE DRILL BIT            215.25                      50        CENTRAL SUPPLY
5020979   S STRL BONE PIN CAPS ALL           7.08                      50        CENTRAL SUPPLY
5029426   S STRL BONE RASP                 176.31                      50        CENTRAL SUPPLY
5005426   S STRL BONE TEN NOZZLE            46.75                      50        CENTRAL SUPPLY
5005459   S STRL BONE WAX                   10.68                      50        CENTRAL SUPPLY
5033121   S STRL BOVIE TRI-STAR            390.25                      50        CENTRAL SUPPLY
5033113   S STRL BOVIE TURBO-VAC           374.50                      50        CENTRAL SUPPLY
5005608   S STRL BRACHIAL PLEXUS TR         96.39                      50        CENTRAL SUPPLY
5033659   S STRL BUR BARREL                164.32                      50        CENTRAL SUPPLY
5023965   S STRL BUR BARROL 5.0MM          124.36                      50        CENTRAL SUPPLY
5023957   S STRL BUR CUTTER 4.0MM          135.30                      50        CENTRAL SUPPLY
5022983   S STRL BUR RND DIAMND2.03        191.58                      50        CENTRAL SUPPLY
5022934   S STRL BUR RND DIAMND3.05        191.58                      50        CENTRAL SUPPLY
5022918   S STRL BUR RND DIAMND4.06        130.20                      50        CENTRAL SUPPLY
5022942   S STRL BUR RND FST CT2.34        197.16                      50        CENTRAL SUPPLY
5022926   S STRL BUR RND FST CT3.20        117.18                      50        CENTRAL SUPPLY
5022959   S STRL BUR RND POLSH 2.31        117.18                      50        CENTRAL SUPPLY
5022819   S STRL BURR 1607-2-35            113.30                      50        CENTRAL SUPPLY
5022793   S STRL BURR 1608-2-13            130.20                      50        CENTRAL SUPPLY
5024377   S STRL BURR BLADE                115.50                      50        CENTRAL SUPPLY
5022827   S STRL BURR PEAR 6.0MM           130.20                      50        CENTRAL SUPPLY
5022785   S STRL BURR ROUND 2.0MM           92.35                      50        CENTRAL SUPPLY
5022801   S STRL BURR ROUND 7.0MM          130.20                      50        CENTRAL SUPPLY
5005806   S STRL CARRIERS SKIN GRFT         62.54                      50        CENTRAL SUPPLY
5033550   S STRL CATH BAL ESOPH            407.75                      50        CENTRAL SUPPLY
5033535   S STRL CATH BAL ESOPH            407.75                      50        CENTRAL SUPPLY
5005988   S STRL CATH BROVIAC              257.25                      50        CENTRAL SUPPLY
5006002   S STRL CATH CHOLANGIOGRAM        122.68                      50        CENTRAL SUPPLY



                                                      Page 23
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5006028   S STRL CATH COUDE 1206-10         31.55                      50        CENTRAL SUPPLY
5006036   S STRL CATH COUDE 1206-12         29.64                      50        CENTRAL SUPPLY
5006044   S STRL CATH COUDE 1206-14         31.53                      50        CENTRAL SUPPLY
5006051   S STRL CATH COUDE 1206-16         31.54                      50        CENTRAL SUPPLY
5006077   S STRL CATH COUDE 1206-20         32.58                      50        CENTRAL SUPPLY
5006085   S STRL CATH COUDE 1206-22         32.56                      50        CENTRAL SUPPLY
5021928   S STRL CATH COUDE 24FR            28.68                      50        CENTRAL SUPPLY
5006101   S STRL CATH CRICOTHYROTMY        210.00                      50        CENTRAL SUPPLY
5008867   S STRL CATH CV DBL LNM KT         79.20                      50        CENTRAL SUPPLY
5008925   S STRL CATH CVP ARTERY            21.12                      50        CENTRAL SUPPLY
5032792   S STRL CATH DUAL LUMEN          1246.00                      50        CENTRAL SUPPLY
5006127   S STRL CATH EPIDURAL              31.63                      50        CENTRAL SUPPLY
5006192   S STRL CATH FLF-FOL 1024F         34.79                      50        CENTRAL SUPPLY
5006242   S STRL CATH FLY 20FR 30CC         12.54                      50        CENTRAL SUPPLY
5033394   S STRL CATH FLY I.C.E.            24.30                      50        CENTRAL SUPPLY
5021100   S STRL CATH FLY SELICONE          13.26                      50        CENTRAL SUPPLY
5006200   S STRL CATH FLY SILI18F30         13.95                      50        CENTRAL SUPPLY
5033105   S STRL CATH FLY TEMP PROB         38.14                      50        CENTRAL SUPPLY
5006267   S STRL CATH FLY0198122            55.05                      50        CENTRAL SUPPLY
5006374   S STRL CATH FOG 5FR 23CM         215.25                      50        CENTRAL SUPPLY
5006416   S STRL CATH FOLEY 165PV08         21.60                      50        CENTRAL SUPPLY
5006424   S STRL CATH FOLEY 165PV10         22.04                      50        CENTRAL SUPPLY
5006432   S STRL CATH FOLEY 165V12          15.43                      50        CENTRAL SUPPLY
5006440   S STRL CATH FOLEY 165V14          10.40                      50        CENTRAL SUPPLY
5006457   S STRL CATH FOLEY 165V16          10.65                      50        CENTRAL SUPPLY
5006465   S STRL CATH FOLEY 165V18          11.91                      50        CENTRAL SUPPLY
5006473   S STRL CATH FOLEY 165V20          11.25                      50        CENTRAL SUPPLY
5006481   S STRL CATH FOLEY 165V22          10.35                      50        CENTRAL SUPPLY
5006499   S STRL CATH FOLEY 165V24          15.66                      50        CENTRAL SUPPLY
5006507   S STRL CATH FOLEY 165V26          14.06                      50        CENTRAL SUPPLY
5006515   S STRL CATH FOLEY 165V28          14.82                      50        CENTRAL SUPPLY
5006531   S STRL CATH FOLEY 166V20          11.85                      50        CENTRAL SUPPLY
5006556   S STRL CATH FOLEY 166V24          17.91                      50        CENTRAL SUPPLY
5006564   S STRL CATH FOLEY 166V26           7.98                      50        CENTRAL SUPPLY
5006572   S STRL CATH FOLEY 166V28          11.84                      50        CENTRAL SUPPLY
5006580   S STRL CATH FOLEY 166V30          13.95                      50        CENTRAL SUPPLY
5024757   S STRL CATH FOLEY 24F 5CC         10.50                      50        CENTRAL SUPPLY
5008834   S STRL CATH INTRO CVP KIT         72.88                      50        CENTRAL SUPPLY
5033832   S STRL CATH IV SAF T 20GA        135.30                      50        CENTRAL SUPPLY
5032735   S STRL CATH STRETTA DISP        1802.50                      50        CENTRAL SUPPLY
5007034   S STRL CATH SWAN VIP 7.5         136.00                      50        CENTRAL SUPPLY



                                                      Page 24
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5007117   S STRL CATH TRAY FLY UNIV          7.20                      50        CENTRAL SUPPLY
5033675   S STRL CATH TRAY PISS 6FR        393.75                      50        CENTRAL SUPPLY
5007158   S STRL CATH TRAYW/REGCATH          8.49                      50        CENTRAL SUPPLY
5027057   S STRL CATH TROCAR 20 FR          37.74                      50        CENTRAL SUPPLY
5027065   S STRL CATH TROCAR 24 FR          37.74                      50        CENTRAL SUPPLY
5007240   S STRL CATH UMX2 5-4-6-75        446.25                      50        CENTRAL SUPPLY
5007257   S STRL CATH UMX2 6-4-6-75        463.75                      50        CENTRAL SUPPLY
5007273   S STRL CATH UR EXTERNAL            2.73                      50        CENTRAL SUPPLY
5007521   S STRL CATH UR FIL037504         100.84                      50        CENTRAL SUPPLY
5007539   S STRL CATH UR FIL037506         100.84                      50        CENTRAL SUPPLY
5007364   S STRL CATH UR FILF021804        107.14                      50        CENTRAL SUPPLY
5007372   S STRL CATH UR FILF021902         93.80                      50        CENTRAL SUPPLY
5007398   S STRL CATH UR FILF021904         93.80                      50        CENTRAL SUPPLY
5007414   S STRL CATH UR FILF021906         93.80                      50        CENTRAL SUPPLY
5007422   S STRL CATH UR FILF022004        107.14                      50        CENTRAL SUPPLY
5007430   S STRL CATH UR FILF022006        107.14                      50        CENTRAL SUPPLY
5007448   S STRL CATH UR FILF022102         93.80                      50        CENTRAL SUPPLY
5007455   S STRL CATH UR FILF022104         93.80                      50        CENTRAL SUPPLY
5007463   S STRL CATH UR FILF022204        107.14                      50        CENTRAL SUPPLY
5007471   S STRL CATH UR FILF022304         93.80                      50        CENTRAL SUPPLY
5007489   S STRL CATH UR FILF022306         93.80                      50        CENTRAL SUPPLY
5007554   S STRL CATH UR FLY0118L20         33.50                      50        CENTRAL SUPPLY
5007562   S STRL CATH UR FLY0118L22         41.83                      50        CENTRAL SUPPLY
5007570   S STRL CATH UR FLY149RL24         35.07                      50        CENTRAL SUPPLY
5007638   S STRL CATH UR PHARM K90           5.85                      50        CENTRAL SUPPLY
5007646   S STRL CATH UR PHIL021508        116.88                      50        CENTRAL SUPPLY
5007653   S STRL CATH UR STRA037404        118.64                      50        CENTRAL SUPPLY
5007661   S STRL CATH UR STRA037406        134.38                      50        CENTRAL SUPPLY
5007752   S STRL CATH URO CONE TIP          68.75                      50        CENTRAL SUPPLY
5007760   S STRL CATH URO DUAL LUMN        120.00                      50        CENTRAL SUPPLY
5007778   S STRL CATH URO OCCL BLN         271.25                      50        CENTRAL SUPPLY
5007802   S STRL CATH URO OPEN END          88.00                      50        CENTRAL SUPPLY
5007810   S STRL CATH UTERINE 1UP2          96.25                      50        CENTRAL SUPPLY
5007836   S STRL CATHETER FEMALE             5.38                      50        CENTRAL SUPPLY
5020888   S STRL CATHETER GLAND             52.03                      50        CENTRAL SUPPLY
5024765   S STRL CATHETER INTRO KIT        129.25                      50        CENTRAL SUPPLY
5007844   S STRL CATHTRYW/FOL782116         15.99                      50        CENTRAL SUPPLY
5007893   S STRL CAUTERY HND 45ABC         123.75                      50        CENTRAL SUPPLY
5007919   S STRL CAUTERY PEN TRP OP        137.50                      50        CENTRAL SUPPLY
5007927   S STRL CAUTERY PENCIL HND          8.33                      50        CENTRAL SUPPLY
5020540   S STRL CAUTERY SURG ENT           27.57                      50        CENTRAL SUPPLY



                                                      Page 25
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5007943   S STRL CELLSAVER FAST PAK        280.00                      50        CENTRAL SUPPLY
5008222   S STRL CLOSED DRAIN P4000          8.01                      50        CENTRAL SUPPLY
5032636   S STRL COAXIAL Q-CONE ND          97.62                      50        CENTRAL SUPPLY
5032404   S STRL COAXIAL Q-CORE NDL        129.93                      50        CENTRAL SUPPLY
5025309   S STRL COAXIAL Q-CORE NDL        133.38                      50        CENTRAL SUPPLY
5033246   S STRL COLLECTION BAGS            15.00                      50        CENTRAL SUPPLY
5008552   S STRL CONSTAVAC WND DRN         274.17                      50        CENTRAL SUPPLY
5023452   S STRL CTH & CATHETR CONN         24.44                      50        CENTRAL SUPPLY
5024146   S STRL CTH 5F SNG LUM            149.50                      50        CENTRAL SUPPLY
5024153   S STRL CTH 6F DBL LUM            179.81                      50        CENTRAL SUPPLY
5022074   S STRL CTH COUDE 22F 30CC         36.00                      50        CENTRAL SUPPLY
5022553   S STRL CTH FL 16F SIL             18.99                      50        CENTRAL SUPPLY
5029368   S STRL CTH FLY (SILCONE)          49.27                      50        CENTRAL SUPPLY
5025093   S STRL CTH FLY 14 SIL             10.47                      50        CENTRAL SUPPLY
5028865   S STRL CTH FLY 18F 30 SIL         48.95                      50        CENTRAL SUPPLY
5006549   S STRL CTH FLY 18FR 30CC          13.47                      50        CENTRAL SUPPLY
5023403   S STRL CTH FLY 20F 30             11.46                      50        CENTRAL SUPPLY
5024187   S STRL CTH FLY 20F 5 SIL          12.60                      50        CENTRAL SUPPLY
5024534   S STRL CTH FLY 22F 30 RSH         49.69                      50        CENTRAL SUPPLY
5025143   S STRL CTH FLY 22F 5 SIL          10.50                      50        CENTRAL SUPPLY
5028907   S STRL CTH FLY 24F 5 SIL          22.50                      50        CENTRAL SUPPLY
5029582   S STRL CTH FOG ART EMBOL.        106.00                      50        CENTRAL SUPPLY
5023858   S STRL CTH JEJUNOSTOMY KT        129.06                      50        CENTRAL SUPPLY
5024518   S STRL CTH LEIBERMAN 6.5F         69.44                      50        CENTRAL SUPPLY
5027180   S STRL CTH MALECOT 28 FR.         29.73                      50        CENTRAL SUPPLY
5027206   S STRL CTH MALECOT 32 FR.         29.73                      50        CENTRAL SUPPLY
5027198   S STRL CTH MALECOT 36 FR.         29.73                      50        CENTRAL SUPPLY
5027172   S STRL CTH MALECOT 40 FR.         29.73                      50        CENTRAL SUPPLY
5024138   S STRL CTH NDL 5F                 41.25                      50        CENTRAL SUPPLY
5024542   S STRL CTH NDL YUEH CENTE         53.62                      50        CENTRAL SUPPLY
5023429   S STRL CTH SINGLE LUMEN          211.75                      50        CENTRAL SUPPLY
5025101   S STRL CTH STRAIGHT 10 FR          2.82                      50        CENTRAL SUPPLY
5023312   S STRL CTH TRCR32F 561076         33.17                      50        CENTRAL SUPPLY
5024112   S STRL CTH VTC BILIARY           290.00                      50        CENTRAL SUPPLY
5022876   S STRL CUTR AGRS MNIS 3.5        135.30                      50        CENTRAL SUPPLY
5022843   S STRL CUTR AGRS MNIS 4          135.30                      50        CENTRAL SUPPLY
5022470   S STRL CUTR FUL RAD 3.5          128.80                      50        CENTRAL SUPPLY
5022702   S STRL CUTR FUL RADIS 2.5        117.76                      50        CENTRAL SUPPLY
5022686   S STRL CUTR FUL RADIS 4.         132.80                      50        CENTRAL SUPPLY
5022694   S STRL CUTR FUL RADIS 5.6        132.80                      50        CENTRAL SUPPLY
5033477   S STRL CUTR TOMCAT 4.0MM         148.80                      50        CENTRAL SUPPLY



                                                      Page 26
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5033493   S STRL CUTR TOMCAT 5.0MM         148.80                      50        CENTRAL SUPPLY
5022710   S STRL CUTR TRUE END 4.0         117.76                      50        CENTRAL SUPPLY
5029004   S STRL CUTTING LOOP              130.00                      50        CENTRAL SUPPLY
5022728   S STRL CUTTR AGGRESIV 2.5        135.30                      50        CENTRAL SUPPLY
5008792   S STRL CVP VALVE LOPEZ             6.30                      50        CENTRAL SUPPLY
5029632   S STRL CYSTC DUCT INTRODU        109.50                      50        CENTRAL SUPPLY
5031299   S STRL DCR SET                   203.26                      50        CENTRAL SUPPLY
5025994   S STRL DERMABOND .5ML             56.63                      50        CENTRAL SUPPLY
5009154   S STRL DERMATONE BLADES           99.55                      50        CENTRAL SUPPLY
5033592   S STRL DILATOR CRE BAL           350.00                      50        CENTRAL SUPPLY
5033543   S STRL DILATOR CRE BAL           350.00                      50        CENTRAL SUPPLY
5033709   S STRL DLTR BAL UROMAX           533.75                      50        CENTRAL SUPPLY
5033212   S STRL DLTR ESOPH TTS            278.25                      50        CENTRAL SUPPLY
5033204   S STRL DLTR ESOPH TTS            278.25                      50        CENTRAL SUPPLY
5033196   S STRL DLTR ESOPH TTS            278.25                      50        CENTRAL SUPPLY
5033188   S STRL DLTR ESOPH TTS            278.25                      50        CENTRAL SUPPLY
5033170   S STRL DLTR ESOPH TTS            278.25                      50        CENTRAL SUPPLY
5023841   S STRL DRAIN FLT FLY 10           89.38                      50        CENTRAL SUPPLY
5011820   S STRL DRAINAGE                  647.50                      50        CENTRAL SUPPLY
5007109   S STRL DRAINAGE                   16.51                      50        CENTRAL SUPPLY
5007083   S STRL DRAINAGE                    1.44                      50        CENTRAL SUPPLY
5006960   S STRL DRAINAGE                   11.25                      50        CENTRAL SUPPLY
5006952   S STRL DRAINAGE                   11.09                      50        CENTRAL SUPPLY
5006945   S STRL DRAINAGE                   11.04                      50        CENTRAL SUPPLY
5006937   S STRL DRAINAGE                   11.56                      50        CENTRAL SUPPLY
5006929   S STRL DRAINAGE                   11.04                      50        CENTRAL SUPPLY
5006911   S STRL DRAINAGE                   10.21                      50        CENTRAL SUPPLY
5006903   S STRL DRAINAGE                   10.53                      50        CENTRAL SUPPLY
5006770   S STRL DRAINAGE                    2.74                      50        CENTRAL SUPPLY
5006762   S STRL DRAINAGE                    3.24                      50        CENTRAL SUPPLY
5006119   S STRL DRAINAGE                  147.60                      50        CENTRAL SUPPLY
5022454   S STRL DRIL CNTRA-ANG            252.26                      50        CENTRAL SUPPLY
5022447   S STRL DRIL CNTRA-ANG            252.26                      50        CENTRAL SUPPLY
5022892   S STRL DRILL LINDEMAN 2.2        130.20                      50        CENTRAL SUPPLY
5029533   S STRL DRN BLKE 19 F FLTD        102.53                      50        CENTRAL SUPPLY
5023833   S STRL DRN FLT FULY FLUTD         89.38                      50        CENTRAL SUPPLY
5029657   S STRL DRS SILVRLOAN WND          85.11                      50        CENTRAL SUPPLY
5033766   S STRL DRSG COVSITE PLUS           4.62                      50        CENTRAL SUPPLY
5009501   S STRL DRSG DUODERM187955          8.10                      50        CENTRAL SUPPLY
5022215   S STRL DRSG DUODRM RG 4X4          9.30                      50        CENTRAL SUPPLY
5033782   S STRL DRSG FIBRACOL PLUS         23.82                      50        CENTRAL SUPPLY



                                                      Page 27
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5009527   S STRL DRSG LYOFOAM 64663         22.45                      50        CENTRAL SUPPLY
5022041   S STRL DRSG ULCER 24 SQ"          10.98                      50        CENTRAL SUPPLY
5009535   S STRL DRSG ULCER 4X4             10.29                      50        CENTRAL SUPPLY
5009543   S STRL DRSG ULCER3X5 3514          9.52                      50        CENTRAL SUPPLY
5033758   S STRL DRSG WND ALGISITE           8.52                      50        CENTRAL SUPPLY
5032396   S STRL DUAL HICKMAN 10FR         271.25                      50        CENTRAL SUPPLY
5032388   S STRL DUAL HICKMAN 7FR          271.25                      50        CENTRAL SUPPLY
5021209   S STRL DUODERM 4X4                12.93                      50        CENTRAL SUPPLY
5021217   S STRL DUODERM 4X5 TRIANG         15.69                      50        CENTRAL SUPPLY
5009774   S STRL ELECT SPIR 15133A          11.84                      50        CENTRAL SUPPLY
5032511   S STRL END ACCUCLIP OMSA8        236.25                      50        CENTRAL SUPPLY
5032503   S STRL END STPLR PTACK 30        398.91                      50        CENTRAL SUPPLY
5024708   S STRL ENDO AVITENE              132.88                      50        CENTRAL SUPPLY
5032727   S STRL ENDO ULTRA SHEARS         495.70                      50        CENTRAL SUPPLY
5010103   S STRL EPIDURAL TRAY              52.33                      50        CENTRAL SUPPLY
5010228   S STRL EYE CAUT 4200 CON          29.76                      50        CENTRAL SUPPLY
5033238   S STRL FLEX-SEAL KIT             176.68                      50        CENTRAL SUPPLY
5027040   S STRL FORCP BIOP SPIK CL         55.00                      50        CENTRAL SUPPLY
5027123   S STRL FORCP THMB SRTD TP         14.55                      50        CENTRAL SUPPLY
5021761   S STRL FRCP HEMOSTAT STRL         10.05                      50        CENTRAL SUPPLY
5021753   S STRL FRCP HEMOSTAT STRL          9.75                      50        CENTRAL SUPPLY
5051792   S STRL FRCP KELLY CRYD            10.65                      50        CENTRAL SUPPLY
5029145   S STRL FRCP MOSQUIT STRA           9.15                      50        CENTRAL SUPPLY
5033402   S STRL FRCP RADL JAW HOT         130.00                      50        CENTRAL SUPPLY
5027024   S STRL FRCP SNGL HOT DISP         96.25                      50        CENTRAL SUPPLY
5021738   S STRL FRCP STRL SPLINTER          7.20                      50        CENTRAL SUPPLY
5026224   S STRL FRCP TISSUE HLD DS          3.36                      50        CENTRAL SUPPLY
5026497   S STRL GASTROSTOMY KIT           190.00                      50        CENTRAL SUPPLY
5013644   S STRL GAUZ PKG 23258370           9.75                      50        CENTRAL SUPPLY
5010749   S STRL GAUZE NU 1" IDOF           11.88                      50        CENTRAL SUPPLY
5010756   S STRL GAUZE NU 2" IDOF           16.53                      50        CENTRAL SUPPLY
5010723   S STRL GAUZE NU.25" IDF            9.63                      50        CENTRAL SUPPLY
5010731   S STRL GAUZE NU.5" IDF            10.23                      50        CENTRAL SUPPLY
5010764   S STRL GAUZE PAK NU .25"           8.09                      50        CENTRAL SUPPLY
5010772   S STRL GAUZE PAK NU .5"            9.03                      50        CENTRAL SUPPLY
5010780   S STRL GAUZE PAK NU 1"            10.44                      50        CENTRAL SUPPLY
5010798   S STRL GAUZE PAK NU 2"            13.70                      50        CENTRAL SUPPLY
5010806   S STRL GELFORM LRG 100            93.99                      50        CENTRAL SUPPLY
5010814   S STRL GELFORM SMALL 7            14.04                      50        CENTRAL SUPPLY
5006598   S STRL GROSHONG CATH             595.00                      50        CENTRAL SUPPLY
5010962   S STRL GUIDE                      35.75                      50        CENTRAL SUPPLY



                                                      Page 28
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5010947   S STRL GUIDE                      25.50                      50        CENTRAL SUPPLY
5010939   S STRL GUIDE                      31.16                      50        CENTRAL SUPPLY
5010905   S STRL GUIDE                      41.08                      50        CENTRAL SUPPLY
5024872   S STRL GUIDE                      16.44                      50        CENTRAL SUPPLY
5023809   S STRL GUIDE                      24.30                      50        CENTRAL SUPPLY
5022314   S STRL GUIDE                      93.50                      50        CENTRAL SUPPLY
5010921   S STRL GUIDE PIN 182-0069         11.25                      50        CENTRAL SUPPLY
5032305   S STRL GUIDE THREADED            103.60                      50        CENTRAL SUPPLY
5032743   S STRL GUIDE WIRE DISP           120.00                      50        CENTRAL SUPPLY
5029236   S STRL HD/PRITNL SHRT TRM        462.35                      50        CENTRAL SUPPLY
5010996   S STRL HEIMLOCK VALUE              7.05                      50        CENTRAL SUPPLY
5026414   S STRL HEMORGE OCLUDR PIN        546.88                      50        CENTRAL SUPPLY
5021837   S STRL HEMOST KELY STRGT          17.10                      50        CENTRAL SUPPLY
5011028   S STRL HEMOSTA ERASER 20G         25.50                      50        CENTRAL SUPPLY
5032768   S STRL HNDPIECE DISP INST       2537.50                      50        CENTRAL SUPPLY
5033162   S STRL HYPER BLADE               178.50                      50        CENTRAL SUPPLY
5025630   S STRL INSERTS FOGARTY            49.50                      50        CENTRAL SUPPLY
5025812   S STRL INSRT FOG HYDR 61          55.00                      50        CENTRAL SUPPLY
5025648   S STRL INSRT FOG HYDR 86          55.00                      50        CENTRAL SUPPLY
5025655   S STRL INSRT FOG SOFT 33          30.80                      50        CENTRAL SUPPLY
5025663   S STRL INSRT FOG SOFT 86          32.48                      50        CENTRAL SUPPLY
5029921   S STRL INSRT FOGARTY 61           32.72                      50        CENTRAL SUPPLY
5011275   S STRL INST IRIS SCIS DSP          7.05                      50        CENTRAL SUPPLY
5021423   S STRL INST IRIS SCISR DS          6.70                      50        CENTRAL SUPPLY
5022280   S STRL INTERSORB DRESSING         12.42                      50        CENTRAL SUPPLY
5011341   S STRL INTUBATION KIT ALL         76.95                      50        CENTRAL SUPPLY
5033097   S STRL INTUBATION ST CAN.        178.00                      50        CENTRAL SUPPLY
5033154   S STRL JAMSHIDI NDL 6 IN          76.01                      50        CENTRAL SUPPLY
5033089   S STRL KIT ART LN 3               39.64                      50        CENTRAL SUPPLY
5033071   S STRL KIT ART LN 6               39.64                      50        CENTRAL SUPPLY
5033410   S STRL KIT INFRAVISION           541.80                      50        CENTRAL SUPPLY
5033006   S STRL KIT PRES MNTR             157.16                      50        CENTRAL SUPPLY
5026422   S STRL KNFE OPTHMC V-LNCE         59.26                      50        CENTRAL SUPPLY
5011747   S STRL LACRIMAL INTUBATN         135.30                      50        CENTRAL SUPPLY
5011804   S STRL LAVEEN INFLT W/GAG        118.00                      50        CENTRAL SUPPLY
5026794   S STRL LMA UNIQUE #3              99.00                      50        CENTRAL SUPPLY
5026802   S STRL LMA UNIQUE #4              88.00                      50        CENTRAL SUPPLY
5031174   S STRL LMA UNIQUE #5              71.23                      50        CENTRAL SUPPLY
5026703   S STRL LTA KIT 469801             11.22                      50        CENTRAL SUPPLY
5011945   S STRL LUMBAR PUNC TRAY C         51.48                      50        CENTRAL SUPPLY
5029871   S STRL LYMPHATIC MAP PAK         191.10                      50        CENTRAL SUPPLY



                                                      Page 29
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5024427   S STRL MAX CORE BIOP GUN         107.25                      50        CENTRAL SUPPLY
5023825   S STRL MAX CORE BIOP GUN          99.00                      50        CENTRAL SUPPLY
5023759   S STRL MAX CORE BIOP GUN          81.86                      50        CENTRAL SUPPLY
5024443   S STRL MAX CORE COAX GIDE         41.25                      50        CENTRAL SUPPLY
5024435   S STRL MAX CORE COAX GIDE         41.25                      50        CENTRAL SUPPLY
5023767   S STRL MAX CORE COAX GIDE         41.25                      50        CENTRAL SUPPLY
5033568   S STRL MAX CORE COAX GUID         43.20                      50        CENTRAL SUPPLY
5033600   S STRL MAX CORE GUIDE             37.35                      50        CENTRAL SUPPLY
5033584   S STRL MAX CORE GUIDE 20          37.62                      50        CENTRAL SUPPLY
5033642   S STRL MESH ULTRAPRO SYS         639.31                      50        CENTRAL SUPPLY
5012216   S STRL MISC SUPPLIES                                         50        CENTRAL SUPPLY
5008917   S STRL MNTR PRES CVP KIT         123.72                      50        CENTRAL SUPPLY
5008909   S STRL MNTR PRES CVP KIT         135.99                      50        CENTRAL SUPPLY
5008883   S STRL MNTR PRES CVP KIT          58.45                      50        CENTRAL SUPPLY
5012232   S STRL MON PRES TUBE P112         14.71                      50        CENTRAL SUPPLY
5008859   S STRL MULTI LUMAN CTH/KT        149.94                      50        CENTRAL SUPPLY
5031372   S STRL MULTI LUMAN CTH/KT        159.60                      50        CENTRAL SUPPLY
5023817   S STRL NDL 17GA BX                37.35                      50        CENTRAL SUPPLY
5025051   S STRL NDL BIOP QK CR1890         77.00                      50        CENTRAL SUPPLY
5025069   S STRL NDL BIOP QK CR2060         89.37                      50        CENTRAL SUPPLY
5025077   S STRL NDL BIOP QK CR2090         77.00                      50        CENTRAL SUPPLY
5033360   S STRL NDL GUIDE 17G BIOP         37.35                      50        CENTRAL SUPPLY
5012612   S STRL NDL INFUSA 36598            7.59                      50        CENTRAL SUPPLY
5021647   S STRL NDL INJ VARIJC CON        112.75                      50        CENTRAL SUPPLY
5033634   S STRL NDL INST MAXCORE          104.04                      50        CENTRAL SUPPLY
5033626   S STRL NDL INST MAXCORE          104.03                      50        CENTRAL SUPPLY
5033618   S STRL NDL INST MAXCORE          104.03                      50        CENTRAL SUPPLY
5012430   S STRL NDL INTRADSSEOUS           40.11                      50        CENTRAL SUPPLY
5026711   S STRL NDL IV CATH JALCO           2.55                      50        CENTRAL SUPPLY
5023593   S STRL NDL MRTN UTERNE 5D         10.35                      50        CENTRAL SUPPLY
5032719   S STRL NDL Q/CORE DSP BX          97.63                      50        CENTRAL SUPPLY
5029335   S STRL NDL QUICK CORE BX          97.63                      50        CENTRAL SUPPLY
5024062   S STRL NDL SPINAL 22X1112          7.86                      50        CENTRAL SUPPLY
5023411   S STRL NDL SPINL 22G 5148         10.50                      50        CENTRAL SUPPLY
5023627   S STRL NDL SPINL 27 3 1/2         22.20                      50        CENTRAL SUPPLY
5023718   S STRL NDL SPINL INTRO 18         10.34                      50        CENTRAL SUPPLY
5023700   S STRL NDL SPINL INTRO 20          6.42                      50        CENTRAL SUPPLY
5023973   S STRL NDL SPNL PENCL PNT         22.65                      50        CENTRAL SUPPLY
5023692   S STRL NDL SPNL WHITCR 25         14.85                      50        CENTRAL SUPPLY
5032826   S STRL NDL SPNL/EPIDURAL          27.91                      50        CENTRAL SUPPLY
5022389   S STRL NDL TROCAR MAYO #4          5.25                      50        CENTRAL SUPPLY



                                                      Page 30
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5023437   S STRL NDL TUOHY 18G EPID         22.70                      50        CENTRAL SUPPLY
5023577   S STRL NDL TUOHY 18GA CLR         22.70                      50        CENTRAL SUPPLY
5022397   S STRL NDLE STAINLS STEEL          5.85                      50        CENTRAL SUPPLY
5022363   S STRL NDLE STAINLS STEEL          7.53                      50        CENTRAL SUPPLY
5012505   S STRL NEEDLE BIOP 2N2702         74.80                      50        CENTRAL SUPPLY
5012513   S STRL NEEDLE BIOP 2N2704         56.07                      50        CENTRAL SUPPLY
5024294   S STRL NEEDLE BIOPSY 20GA         31.56                      50        CENTRAL SUPPLY
5021068   S STRL NEEDLE BIOPSY INJT        132.00                      50        CENTRAL SUPPLY
5022371   S STRL NEEDLE FERGUSO #16          5.25                      50        CENTRAL SUPPLY
5021688   S STRL NEEDLE KEITH ALL            7.24                      50        CENTRAL SUPPLY
5022405   S STRL NEEDLE MARTIN #6            8.95                      50        CENTRAL SUPPLY
5022322   S STRL NEEDLE MAYO #1              3.54                      50        CENTRAL SUPPLY
5022355   S STRL NEEDLE MAYO #4              6.99                      50        CENTRAL SUPPLY
5022348   S STRL NEEDLE MAYO #5              7.62                      50        CENTRAL SUPPLY
5022330   S STRL NEEDLE MAYO #6              8.39                      50        CENTRAL SUPPLY
5012679   S STRL NEEDLE RETROB 23G           9.30                      50        CENTRAL SUPPLY
5012695   S STRL NEEDLE SPINAL 18GA          7.41                      50        CENTRAL SUPPLY
5012703   S STRL NEEDLE SPINAL 3.5"         13.50                      50        CENTRAL SUPPLY
5012711   S STRL NEEDLE SPINAL 6"           51.31                      50        CENTRAL SUPPLY
5024658   S STRL NEEDLE WANG TRANS         134.06                      50        CENTRAL SUPPLY
5012778   S STRL NERVE STIMULAT            111.65                      50        CENTRAL SUPPLY
5024914   S STRL NOINTRACARD NOLSR         134.06                      50        CENTRAL SUPPLY
5024906   S STRL NOINTRACARD NOLSR         134.09                      50        CENTRAL SUPPLY
5012984   S STRL OPTHALMIC BURR3081         19.17                      50        CENTRAL SUPPLY
5013453   S STRL PACING ELECT TRAY         218.61                      50        CENTRAL SUPPLY
5013636   S STRL PACKING GZ 347330           9.57                      50        CENTRAL SUPPLY
5020573   S STRL PARACENTESIS TRAY          95.61                      50        CENTRAL SUPPLY
5024674   S STRL PEDIA-TRACH               262.41                      50        CENTRAL SUPPLY
5013693   S STRL PEG KIT 14751590          297.50                      50        CENTRAL SUPPLY
5028972   S STRL PICC 4 F SNGL LUMA        159.50                      50        CENTRAL SUPPLY
5025358   S STRL PICC LINE REPR KIT         41.25                      50        CENTRAL SUPPLY
5033691   S STRL PK ANT VITRECTOMY         290.50                      50        CENTRAL SUPPLY
5029376   S STRL PLEURAL CTH KIT           446.25                      50        CENTRAL SUPPLY
5029384   S STRL PLEURAL DRNG KIT          132.00                      50        CENTRAL SUPPLY
5013867   S STRL PLEUR-EVAC AN 4000        103.81                      50        CENTRAL SUPPLY
5032883   S STRL PLYMM 5X5                  23.13                      50        CENTRAL SUPPLY
5026646   S STRL PLYMN 5X5 MEMBR PD          9.03                      50        CENTRAL SUPPLY
5008875   S STRL PNCTR JUGULAR KIT          45.38                      50        CENTRAL SUPPLY
5023221   S STRL PNEUMOTHORAX SET          170.00                      50        CENTRAL SUPPLY
5026653   S STRL POLYMN 4X12.5 ROLL         41.06                      50        CENTRAL SUPPLY
5013941   S STRL PRES MON 1270KL/SL         49.23                      50        CENTRAL SUPPLY



                                                      Page 31
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5013933   S STRL PRES MON 127OKH/B1         67.10                      50        CENTRAL SUPPLY
5013917   S STRL PRES MON KIT NEONA         28.23                      50        CENTRAL SUPPLY
5033527   S STRL PROBE SUC 50DEG           418.25                      50        CENTRAL SUPPLY
5033519   S STRL PROBE SUC 90DEG           334.68                      50        CENTRAL SUPPLY
5033501   S STRL PROBE SUC 90DEG           334.68                      50        CENTRAL SUPPLY
5031307   S STRL PUNCH BIOPSY                3.84                      50        CENTRAL SUPPLY
5026216   S STRL RADIO WRST W/S DRP       2143.75                      50        CENTRAL SUPPLY
5024526   S STRL RAPD FIRE MULT BND        428.75                      50        CENTRAL SUPPLY
5032750   S STRL RELIET VALUE DISP          60.50                      50        CENTRAL SUPPLY
5014212   S STRL RESTORE DRSNG 9930         10.88                      50        CENTRAL SUPPLY
5014220   S STRL RESTORE DRSNG 9932         26.44                      50        CENTRAL SUPPLY
5029160   S STRL RETRACTOR VAGINAL         180.00                      50        CENTRAL SUPPLY
5021746   S STRL SCISR IRS STRL CRV          6.90                      50        CENTRAL SUPPLY
5033014   S STRL SET THRML W/PROBE          29.25                      50        CENTRAL SUPPLY
5021571   S STRL SKIN STAPLR DS DS5         13.98                      50        CENTRAL SUPPLY
5032271   S STRL SNARE POLY ROTATAB        107.25                      50        CENTRAL SUPPLY
5021241   S STRL SNARE POLYP DISP           78.38                      50        CENTRAL SUPPLY
5021530   S STRL SORBSAN 4X4                22.99                      50        CENTRAL SUPPLY
5021522   S STRL SORBSAN WND PK 12"         26.70                      50        CENTRAL SUPPLY
5007216   S STRL SP/CYSTOSCOPIC            111.43                      50        CENTRAL SUPPLY
5007190   S STRL SP/CYSTOSCOPIC             38.44                      50        CENTRAL SUPPLY
5007182   S STRL SP/CYSTOSCOPIC             33.50                      50        CENTRAL SUPPLY
5007174   S STRL SP/CYSTOSCOPIC             39.88                      50        CENTRAL SUPPLY
5007166   S STRL SP/CYSTOSCOPIC             39.88                      50        CENTRAL SUPPLY
5005970   S STRL SP/CYSTOSCOPIC             95.59                      50        CENTRAL SUPPLY
5031190   S STRL SPEAKING VALVE CLR        116.00                      50        CENTRAL SUPPLY
5005400   S STRL STAPLE 3M ALL             285.25                      50        CENTRAL SUPPLY
5015763   S STRL STENT MARDIS SOFT         330.75                      50        CENTRAL SUPPLY
5016027   S STRL STNE BASKET 039145        416.50                      50        CENTRAL SUPPLY
5016035   S STRL STNE BASKET 310106        362.25                      50        CENTRAL SUPPLY
5023239   S STRL STNE EXTRACT WIRE         198.30                      50        CENTRAL SUPPLY
5029244   S STRL STNE RETR BAS 2.4F        358.75                      50        CENTRAL SUPPLY
5016043   S STRL STNE RETRUL 330106        271.25                      50        CENTRAL SUPPLY
5016050   S STRL STNE RETRVL 330110        297.50                      50        CENTRAL SUPPLY
5016092   S STRL SUC CATH 16FR 3069          2.83                      50        CENTRAL SUPPLY
5033436   S STRL SUC IRR DISP              202.30                      50        CENTRAL SUPPLY
5016274   S STRL SUCT CATH 5FR 3070          1.41                      50        CENTRAL SUPPLY
5016209   S STRL SUCT CATH N SL8910          4.53                      50        CENTRAL SUPPLY
5016191   S STRL SUCT CATH N SLEEVE          3.36                      50        CENTRAL SUPPLY
5016225   S STRL SUCT CATH PT61C             4.62                      50        CENTRAL SUPPLY
5016233   S STRL SUCT CATH PT63C             5.01                      50        CENTRAL SUPPLY



                                                      Page 32
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5016241   S STRL SUCT CATH YANK 82           1.29                      50        CENTRAL SUPPLY
5016308   S STRL SUCT CATH6.5FR3067          1.41                      50        CENTRAL SUPPLY
5016316   S STRL SUCT CATH8FR PT54C          6.30                      50        CENTRAL SUPPLY
5016258   S STRL SUCT CTH YANK 3487          4.47                      50        CENTRAL SUPPLY
5016266   S STRL SUCT CTH YANK 3492          5.82                      50        CENTRAL SUPPLY
5051669   S STRL SUR SOFSILK 2-0             2.71                      50        CENTRAL SUPPLY
5025598   S STRL SURG BLADE #12              1.98                      50        CENTRAL SUPPLY
5016522   S STRL SURGIPORT TROCR 10        155.56                      50        CENTRAL SUPPLY
5016555   S STRL SURGIPRT TROCAR355        129.50                      50        CENTRAL SUPPLY
5016712   S STRL SURT LIN CUTRTLC75        267.03                      50        CENTRAL SUPPLY
5050257   S STRL SUT BIO 0 GS-21             5.70                      50        CENTRAL SUPPLY
5050265   S STRL SUT BIO 1 GS-25             4.05                      50        CENTRAL SUPPLY
5051453   S STRL SUT BIO 2-0                 3.81                      50        CENTRAL SUPPLY
5050240   S STRL SUT BIO 2-0 GS-11           5.88                      50        CENTRAL SUPPLY
5051362   S STRL SUT BIO 2-0 GU-46           4.22                      50        CENTRAL SUPPLY
5051354   S STRL SUT BIO 3-0 CV-23           3.85                      50        CENTRAL SUPPLY
5051040   S STRL SUT BIO 3-0 P-12            7.99                      50        CENTRAL SUPPLY
5051057   S STRL SUT BIO 4-0 P-12            7.89                      50        CENTRAL SUPPLY
5051073   S STRL SUT BIO 4-0 P-13            8.01                      50        CENTRAL SUPPLY
5051065   S STRL SUT BIO 5-0 P-13            7.99                      50        CENTRAL SUPPLY
5060215   S STRL SUT CHORM GUT 3-0           5.72                      50        CENTRAL SUPPLY
5060223   S STRL SUT CHROM GUT 4-0           5.76                      50        CENTRAL SUPPLY
5060207   S STRL SUT CHROM GUT 4-0           5.76                      50        CENTRAL SUPPLY
5051818   S STRL SUT CHROMIC #1 CTX          6.18                      50        CENTRAL SUPPLY
5051743   S STRL SUT CHROMIC 2-0             6.69                      50        CENTRAL SUPPLY
5051867   S STRL SUT CHROMIC CT-1            5.38                      50        CENTRAL SUPPLY
5051875   S STRL SUT CHROMIC SH              5.71                      50        CENTRAL SUPPLY
5050000   S STRL SUT DERM 9-0 TE100         31.93                      50        CENTRAL SUPPLY
5050042   S STRL SUT DEX 4-0 PR-1            8.31                      50        CENTRAL SUPPLY
5027602   S STRL SUT END 45/3.5 ROT        293.63                      50        CENTRAL SUPPLY
5032701   S STRL SUT END CLIP              245.00                      50        CENTRAL SUPPLY
5020532   S STRL SUT END CLIP M/L          217.54                      50        CENTRAL SUPPLY
5027560   S STRL SUT END GI 30/2.5         195.61                      50        CENTRAL SUPPLY
5027578   S STRL SUT END GI 30/3.15        231.58                      50        CENTRAL SUPPLY
5027586   S STRL SUT END GI 45/2.15        179.70                      50        CENTRAL SUPPLY
5027594   S STRL SUT END GI 45/3.15        179.70                      50        CENTRAL SUPPLY
5026265   S STRL SUT END GIA II 3.5        186.93                      50        CENTRAL SUPPLY
5026257   S STRL SUT END GIA II 4.8        186.93                      50        CENTRAL SUPPLY
5026273   S STRL SUT END GIA UNV 12        386.03                      50        CENTRAL SUPPLY
5017470   S STRL SUT END GTA 3.5           185.10                      50        CENTRAL SUPPLY
5029707   S STRL SUT END INSFLN NDL         48.40                      50        CENTRAL SUPPLY



                                                      Page 33
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5029665   S STRL SUT END INSFLN NDL         48.40                      50        CENTRAL SUPPLY
5026927   S STRL SUT END PDLE RETRC        210.13                      50        CENTRAL SUPPLY
5027099   S STRL SUT END PTH CHRY           84.65                      50        CENTRAL SUPPLY
5026406   S STRL SUT END RELD UNIV         117.72                      50        CENTRAL SUPPLY
5021886   S STRL SUT END ROTIC GRSP        177.22                      50        CENTRAL SUPPLY
5026059   S STRL SUT END ROTICLAT          186.60                      50        CENTRAL SUPPLY
5020961   S STRL SUT END ST 10             189.03                      50        CENTRAL SUPPLY
5026695   S STRL SUT END ULTR SHRS         467.25                      50        CENTRAL SUPPLY
5026349   S STRL SUT END UNIVSAL 65        288.58                      50        CENTRAL SUPPLY
5021787   S STRL SUT END VRSAPRT           115.17                      50        CENTRAL SUPPLY
5029699   S STRL SUT END VRSASTP           137.00                      50        CENTRAL SUPPLY
5029681   S STRL SUT END VRSASTP 12        128.00                      50        CENTRAL SUPPLY
5029715   S STRL SUT END VRSASTP 5         130.34                      50        CENTRAL SUPPLY
5029673   S STRL SUT END VRSASTP 5         125.02                      50        CENTRAL SUPPLY
5029723   S STRL SUT END VRSTP 12 L        156.80                      50        CENTRAL SUPPLY
5022009   S STRL SUT END VSPRT17664        212.56                      50        CENTRAL SUPPLY
5026315   S STRL SUT ENDO CLOSE            192.50                      50        CENTRAL SUPPLY
5016621   S STRL SUT ENDO DISECT           138.39                      50        CENTRAL SUPPLY
5032552   S STRL SUT ENDO LIGA CLIP         62.69                      50        CENTRAL SUPPLY
5017462   S STRL SUT ENDO PEANUT            60.70                      50        CENTRAL SUPPLY
5021894   S STRL SUT ENDO RETRACT          190.65                      50        CENTRAL SUPPLY
5051511   S STRL SUT ETHIBOND2-0            59.34                      50        CENTRAL SUPPLY
5051750   S STRL SUT ETHILON #2 LR          10.14                      50        CENTRAL SUPPLY
5051768   S STRL SUT ETHILON 6-0             9.78                      50        CENTRAL SUPPLY
5051560   S STRL SUT ETHILON 9-0 EY         64.16                      50        CENTRAL SUPPLY
5016647   S STRL SUT EYE/MIC 8-0 UP         33.00                      50        CENTRAL SUPPLY
5051545   S STRL SUT GORE TEX O             32.31                      50        CENTRAL SUPPLY
5051529   S STRL SUT GORETEX CV-2           32.31                      50        CENTRAL SUPPLY
5050018   S STRL SUT MAX O T-12              5.88                      50        CENTRAL SUPPLY
5050828   S STRL SUT MERSLN 4-0 P-3         10.20                      50        CENTRAL SUPPLY
5050281   S STRL SUT MONO 1 GS25             7.61                      50        CENTRAL SUPPLY
5050802   S STRL SUT MONO 10-0              48.32                      50        CENTRAL SUPPLY
5050778   S STRL SUT MONO 10-0 4            48.73                      50        CENTRAL SUPPLY
5051206   S STRL SUT MONO 2-0 C-15           4.11                      50        CENTRAL SUPPLY
5060199   S STRL SUT MONO 3-0 C-14           2.72                      50        CENTRAL SUPPLY
5051172   S STRL SUT MONO 3-0 C-14           4.05                      50        CENTRAL SUPPLY
5051198   S STRL SUT MONO 3-0 C-17           4.23                      50        CENTRAL SUPPLY
5051131   S STRL SUT MONO 3-0 SC-2           2.85                      50        CENTRAL SUPPLY
5060041   S STRL SUT MONO 4-0 C-13           2.89                      50        CENTRAL SUPPLY
5051149   S STRL SUT MONO 4-0 C-14           2.85                      50        CENTRAL SUPPLY
5051180   S STRL SUT MONO 4-0 C-16           4.11                      50        CENTRAL SUPPLY



                                                      Page 34
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5060033   S STRL SUT MONO 4-0 P-13           6.96                      50        CENTRAL SUPPLY
5051164   S STRL SUT MONO 4-0 P-13           2.86                      50        CENTRAL SUPPLY
5051099   S STRL SUT MONO 4-0 P-13           6.90                      50        CENTRAL SUPPLY
5060009   S STRL SUT MONO 5-0 C-13           2.95                      50        CENTRAL SUPPLY
5051156   S STRL SUT MONO 5-0 C-13           4.23                      50        CENTRAL SUPPLY
5060793   S STRL SUT MONO 5-0 P-13           6.63                      50        CENTRAL SUPPLY
5051123   S STRL SUT MONO 5-0 P-13           9.57                      50        CENTRAL SUPPLY
5060025   S STRL SUT MONO 6-0 P-10           6.63                      50        CENTRAL SUPPLY
5051115   S STRL SUT MONO 6-0 P-10           9.57                      50        CENTRAL SUPPLY
5051107   S STRL SUT MONO 6-0 P-13           9.57                      50        CENTRAL SUPPLY
5060108   S STRL SUT MONO 7-0 P-16           7.05                      50        CENTRAL SUPPLY
5051081   S STRL SUT MONO 7-9 P-16          10.17                      50        CENTRAL SUPPLY
5050786   S STRL SUT MONO 8-0 4             31.79                      50        CENTRAL SUPPLY
5050794   S STRL SUT MONO 9-0 5             24.03                      50        CENTRAL SUPPLY
5050810   S STRL SUT MONO LO-0              42.08                      50        CENTRAL SUPPLY
5060835   S STRL SUT MONOSOF 6-0             6.63                      50        CENTRAL SUPPLY
5051594   S STRL SUT MONOSOF 9-0            22.83                      50        CENTRAL SUPPLY
5051719   S STRL SUT MUROLON 0 CT-1         15.61                      50        CENTRAL SUPPLY
5051651   S STRL SUT MUROLON 0 CT-1         15.31                      50        CENTRAL SUPPLY
5060017   S STRL SUT NONO 5-0 P-13           6.63                      50        CENTRAL SUPPLY
5024666   S STRL SUT PDS 1                  24.89                      50        CENTRAL SUPPLY
5051883   S STRL SUT PDS II 0 TP-1          16.20                      50        CENTRAL SUPPLY
5051479   S STRL SUT PLAIN 0                 6.81                      50        CENTRAL SUPPLY
5051891   S STRL SUT PLN GUT 6-0            36.91                      50        CENTRAL SUPPLY
5051610   S STRL SUT PLYSRB 4-0              7.30                      50        CENTRAL SUPPLY
5051446   S STRL SUT POLY 0 CT-1            28.34                      50        CENTRAL SUPPLY
5050703   S STRL SUT POLY 0 CUT              9.31                      50        CENTRAL SUPPLY
5050133   S STRL SUT POLY 0 GS 21           19.83                      50        CENTRAL SUPPLY
5050224   S STRL SUT POLY 0 GS-21            3.66                      50        CENTRAL SUPPLY
5050174   S STRL SUT POLY 0 GS22             3.46                      50        CENTRAL SUPPLY
5050141   S STRL SUT POLY 0 GS24             3.51                      50        CENTRAL SUPPLY
5051347   S STRL SUT POLY 0 GU-46            3.94                      50        CENTRAL SUPPLY
5050679   S STRL SUT POLY 0 STSLTH           3.36                      50        CENTRAL SUPPLY
5050588   S STRL SUT POLY 0 V-20             3.59                      50        CENTRAL SUPPLY
5050737   S STRL SUT POLY 1 CUT              9.22                      50        CENTRAL SUPPLY
5050182   S STRL SUT POLY 1 GS21             5.04                      50        CENTRAL SUPPLY
5050216   S STRL SUT POLY 1 GS-21            5.40                      50        CENTRAL SUPPLY
5050232   S STRL SUT POLY 1 GS-25            2.69                      50        CENTRAL SUPPLY
5050687   S STRL SUT POLY 1 STDLTH           3.49                      50        CENTRAL SUPPLY
5051487   S STRL SUT POLY 2-0 5X30          14.01                      50        CENTRAL SUPPLY
5050729   S STRL SUT POLY 2-0 CUT           14.50                      50        CENTRAL SUPPLY



                                                      Page 35
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5050190   S STRL SUT POLY 2-0 GS10           5.40                      50        CENTRAL SUPPLY
5050125   S STRL SUT POLY 2-0 GS11           3.77                      50        CENTRAL SUPPLY
5050208   S STRL SUT POLY 2-0 GS21           3.74                      50        CENTRAL SUPPLY
5050166   S STRL SUT POLY 2-0 GS22           3.51                      50        CENTRAL SUPPLY
5050570   S STRL SUT POLY 2-0 V-20           4.98                      50        CENTRAL SUPPLY
5060140   S STRL SUT POLY 3-0 C-13           3.69                      50        CENTRAL SUPPLY
5051032   S STRL SUT POLY 3-0 C-14           5.13                      50        CENTRAL SUPPLY
5051503   S STRL SUT POLY 3-0 CV-23          3.55                      50        CENTRAL SUPPLY
5050596   S STRL SUT POLY 3-0 CV-25         27.69                      50        CENTRAL SUPPLY
5050562   S STRL SUT POLY 3-0 CV-25          3.36                      50        CENTRAL SUPPLY
5050158   S STRL SUT POLY 3-0 GS22           5.04                      50        CENTRAL SUPPLY
5050976   S STRL SUT POLY 3-0 P-12          10.86                      50        CENTRAL SUPPLY
5050760   S STRL SUT POLY 3-0 REEL           4.04                      50        CENTRAL SUPPLY
5051008   S STRL SUT POLY 3-0 SC-2           4.92                      50        CENTRAL SUPPLY
5051586   S STRL SUT POLY 3-0 V-20           3.49                      50        CENTRAL SUPPLY
5051024   S STRL SUT POLY 4-0 C-14           5.13                      50        CENTRAL SUPPLY
5060173   S STRL SUT POLY 4-0 CV-25          3.37                      50        CENTRAL SUPPLY
5050554   S STRL SUT POLY 4-0 CV-25          3.36                      50        CENTRAL SUPPLY
5050992   S STRL SUT POLY 4-0 P-13           7.08                      50        CENTRAL SUPPLY
5060116   S STRL SUT POLY 4-0 PC-13          8.16                      50        CENTRAL SUPPLY
5050752   S STRL SUT POLY 4-0 REEL           5.60                      50        CENTRAL SUPPLY
5051016   S STRL SUT POLY 4-0 SC-2           3.40                      50        CENTRAL SUPPLY
5051578   S STRL SUT POLY 5-0               21.15                      50        CENTRAL SUPPLY
5051339   S STRL SUT POLY 5-0 CV-23          3.56                      50        CENTRAL SUPPLY
5050984   S STRL SUT POLY 5-0 P-13           7.08                      50        CENTRAL SUPPLY
5050695   S STRL SUT POLY 6-0 SS-29         19.59                      50        CENTRAL SUPPLY
5050711   S STRL SUT POLY 8-0 5             22.49                      50        CENTRAL SUPPLY
5051735   S STRL SUT PROLENE 0 V-7          17.49                      50        CENTRAL SUPPLY
5051727   S STRL SUT PROLENE 6-0            12.06                      50        CENTRAL SUPPLY
5023999   S STRL SUT RELOADS               103.14                      50        CENTRAL SUPPLY
5060249   S STRL SUT SILK 0                  3.87                      50        CENTRAL SUPPLY
5051842   S STRL SUT SILK 4-0 C-1            7.41                      50        CENTRAL SUPPLY
5033337   S STRL SUT SMARTSTICH            280.00                      50        CENTRAL SUPPLY
5033329   S STRL SUT SMARTSTICH            280.00                      50        CENTRAL SUPPLY
5033279   S STRL SUT SMARTSTITCH           218.75                      50        CENTRAL SUPPLY
5060090   S STRL SUT SOFSLK 0 C-16           2.79                      50        CENTRAL SUPPLY
5051263   S STRL SUT SOFSLK 0 C-16           2.80                      50        CENTRAL SUPPLY
5050927   S STRL SUT SOFSLK 0 CUT            2.88                      50        CENTRAL SUPPLY
5050364   S STRL SUT SOFSLK 0 GS21           6.17                      50        CENTRAL SUPPLY
5050653   S STRL SUT SOFSLK 0 V-20           4.08                      50        CENTRAL SUPPLY
5050935   S STRL SUT SOFSLK 1 CUT            2.88                      50        CENTRAL SUPPLY



                                                      Page 36
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5050661   S STRL SUT SOFSLK 1 V-20           4.17                      50        CENTRAL SUPPLY
5050919   S STRL SUT SOFSLK 2-0 CUT          4.13                      50        CENTRAL SUPPLY
5050646   S STRL SUT SOFSLK 2-0 V20          4.02                      50        CENTRAL SUPPLY
5050604   S STRL SUT SOFSLK 2-0 V20         16.50                      50        CENTRAL SUPPLY
5050901   S STRL SUT SOFSLK 3-0 CUT          6.09                      50        CENTRAL SUPPLY
5050638   S STRL SUT SOFSLK 3-0 V20          4.02                      50        CENTRAL SUPPLY
5050612   S STRL SUT SOFSLK 3-0 V20         16.26                      50        CENTRAL SUPPLY
5051404   S STRL SUT SOFSLK 4-0              8.79                      50        CENTRAL SUPPLY
5050836   S STRL SUT SOFSLK 4-0 C-1          6.60                      50        CENTRAL SUPPLY
5050893   S STRL SUT SOFSLK 4-0 CUT          5.73                      50        CENTRAL SUPPLY
5051255   S STRL SUT SOFSLK 4-0 P13          6.51                      50        CENTRAL SUPPLY
5050620   S STRL SUT SOFSLK 4-0 V20          4.08                      50        CENTRAL SUPPLY
5051412   S STRL SUT SOFSLK 5-0              4.14                      50        CENTRAL SUPPLY
5050869   S STRL SUT SOFSLK 5-0 CUT          3.78                      50        CENTRAL SUPPLY
5050851   S STRL SUT SOFSLK 6-0             25.38                      50        CENTRAL SUPPLY
5024419   S STRL SUT SPRING GRIP            17.79                      50        CENTRAL SUPPLY
5050497   S STRL SUT SRG 2-0 STDLTH          4.44                      50        CENTRAL SUPPLY
5050299   S STRL SUT SRGPRO 0 GS21          15.33                      50        CENTRAL SUPPLY
5050356   S STRL SUT SRGPRO 0 HGS22         13.65                      50        CENTRAL SUPPLY
5016670   S STRL SUT STABLTY THRED          21.18                      50        CENTRAL SUPPLY
5050067   S STRL SUT SURG 0 BGS-27          11.63                      50        CENTRAL SUPPLY
5050414   S STRL SUT SURG 0 CUT              7.21                      50        CENTRAL SUPPLY
5050083   S STRL SUT SURG 0 GS-21            4.50                      50        CENTRAL SUPPLY
5050505   S STRL SUT SURG 0 STDLTH           3.07                      50        CENTRAL SUPPLY
5050489   S STRL SUT SURG 0 STDLTH           4.44                      50        CENTRAL SUPPLY
5050547   S STRL SUT SURG 0 V-20             3.07                      50        CENTRAL SUPPLY
5050422   S STRL SUT SURG 1 CUT             10.29                      50        CENTRAL SUPPLY
5050406   S STRL SUT SURG 2-0 CUT           13.38                      50        CENTRAL SUPPLY
5050091   S STRL SUT SURG 2-0 GS11           4.71                      50        CENTRAL SUPPLY
5050109   S STRL SUT SURG 2-0 GS21           4.47                      50        CENTRAL SUPPLY
5050075   S STRL SUT SURG 2-0 GS-21          3.00                      50        CENTRAL SUPPLY
5050117   S STRL SUT SURG 2-0 GS24           4.65                      50        CENTRAL SUPPLY
5051313   S STRL SUT SURG 2-0 GU-44          3.66                      50        CENTRAL SUPPLY
5051321   S STRL SUT SURG 2-0 GU-46          5.04                      50        CENTRAL SUPPLY
5050745   S STRL SUT SURG 2-0 REEL           5.10                      50        CENTRAL SUPPLY
5051305   S STRL SUT SURG 2-0 SU-45          5.04                      50        CENTRAL SUPPLY
5050539   S STRL SUT SURG 2-0 V-20           4.50                      50        CENTRAL SUPPLY
5050968   S STRL SUT SURG 3-0 C-13           3.09                      50        CENTRAL SUPPLY
5050471   S STRL SUT SURG 3-0 CUT           19.23                      50        CENTRAL SUPPLY
5051297   S STRL SUT SURG 3-0 CV-23          4.50                      50        CENTRAL SUPPLY
5051602   S STRL SUT SURG 3-0 G5-21          3.10                      50        CENTRAL SUPPLY



                                                      Page 37
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5050521   S STRL SUT SURG 3-0 V-20           4.50                      50        CENTRAL SUPPLY
5050430   S STRL SUT SURG 4-0 C-21          10.83                      50        CENTRAL SUPPLY
5051289   S STRL SUT SURG 4-0 CV-23          4.50                      50        CENTRAL SUPPLY
5050448   S STRL SUT SURG 4-0 HE-3          26.37                      50        CENTRAL SUPPLY
5050943   S STRL SUT SURG 4-0 P-13           7.47                      50        CENTRAL SUPPLY
5050513   S STRL SUT SURG 4-0 V-20           4.50                      50        CENTRAL SUPPLY
5050950   S STRL SUT SURG 5-0 C-13           4.77                      50        CENTRAL SUPPLY
5051271   S STRL SUT SURG 5-0 CV-23          4.59                      50        CENTRAL SUPPLY
5050463   S STRL SUT SURG 6-0 HE-1          18.68                      50        CENTRAL SUPPLY
5050455   S STRL SUT SURG 6-0 HE-1           9.72                      50        CENTRAL SUPPLY
5060785   S STRL SUT SURG PRO 3-0            8.11                      50        CENTRAL SUPPLY
5051677   S STRL SUT SURG PRO 6-0           86.81                      50        CENTRAL SUPPLY
5016696   S STRL SUT SURGCLIP MCL20         70.29                      50        CENTRAL SUPPLY
5050380   S STRL SUT SURGDK 0 CUT            2.50                      50        CENTRAL SUPPLY
5050372   S STRL SUT SURGDRK 4-0            26.76                      50        CENTRAL SUPPLY
5022223   S STRL SUT SURGICLIP S 9.        103.30                      50        CENTRAL SUPPLY
5051636   S STRL SUT SURGIDAC #2 R           2.68                      50        CENTRAL SUPPLY
5051495   S STRL SUT SURGIDAC O              3.71                      50        CENTRAL SUPPLY
5029590   S STRL SUT SURGILON 0             13.47                      50        CENTRAL SUPPLY
5051628   S STRL SUT SURGIPRO 4-0            6.90                      50        CENTRAL SUPPLY
5060066   S STRL SUT SURGIPRO 5-0            8.19                      50        CENTRAL SUPPLY
5051230   S STRL SUT SURGPRO 0 C-17          5.55                      50        CENTRAL SUPPLY
5050323   S STRL SUT SURGPRO 0 GS21          5.88                      50        CENTRAL SUPPLY
5050315   S STRL SUT SURGPRO 0 GS22          4.13                      50        CENTRAL SUPPLY
5051396   S STRL SUT SURGPRO 0 KV-7         12.60                      50        CENTRAL SUPPLY
5050331   S STRL SUT SURGPRO 1 GS25          6.00                      50        CENTRAL SUPPLY
5050349   S STRL SUT SURGPRO 1 GS26          6.63                      50        CENTRAL SUPPLY
5051248   S STRL SUT SURGPRO 2-0             5.34                      50        CENTRAL SUPPLY
5050307   S STRL SUT SURGPRO 2-0             9.12                      50        CENTRAL SUPPLY
5060157   S STRL SUT SURGPRO 3-0             8.10                      50        CENTRAL SUPPLY
5051552   S STRL SUT SURGPRO 3-0            10.03                      50        CENTRAL SUPPLY
5051644   S STRL SUT SURGPRO 4 - 0          15.69                      50        CENTRAL SUPPLY
5060827   S STRL SUT SURGPRO 4-0             4.00                      50        CENTRAL SUPPLY
5060132   S STRL SUT SURGPRO 4-0             7.23                      50        CENTRAL SUPPLY
5051701   S STRL SUT SURGPRO 4-0             8.14                      50        CENTRAL SUPPLY
5051370   S STRL SUT SURGPRO 4-0             9.13                      50        CENTRAL SUPPLY
5060819   S STRL SUT SURGPRO 5-0             7.92                      50        CENTRAL SUPPLY
5051388   S STRL SUT SURGPRO 5-0            12.39                      50        CENTRAL SUPPLY
5060801   S STRL SUT SURGPRO 6-0             8.56                      50        CENTRAL SUPPLY
5060082   S STRL SUT SURGPRO 6-0             8.70                      50        CENTRAL SUPPLY
5051214   S STRL SUT SURPRO 6-0             13.11                      50        CENTRAL SUPPLY



                                                      Page 38
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5051222   S STRL SUT SURPRO 6-0 P10         12.57                      50        CENTRAL SUPPLY
5022108   S STRL SUT THORACOPRT 5.5        112.31                      50        CENTRAL SUPPLY
5022090   S STRL SUT THRACOPRT 11.5         49.11                      50        CENTRAL SUPPLY
5033741   S STRL SUT VICRYL #1 CT-1          5.13                      50        CENTRAL SUPPLY
5051834   S STRL SUT VICRYL 2-0             30.26                      50        CENTRAL SUPPLY
5051784   S STRL SUT VICRYL 2-0              1.98                      50        CENTRAL SUPPLY
5051776   S STRL SUT VICRYL 2-0              2.04                      50        CENTRAL SUPPLY
5051859   S STRL SUT VICRYL 3-0              4.83                      50        CENTRAL SUPPLY
5051826   S STRL SUT VICRYL 3-0             29.88                      50        CENTRAL SUPPLY
5060231   S STRL SUT VICRYL 5.0              5.91                      50        CENTRAL SUPPLY
5051537   S STRL SUT WIRE CCS4              66.54                      50        CENTRAL SUPPLY
5016704   S STRL SUTR LIN CUTRTLC55        200.41                      50        CENTRAL SUPPLY
5016720   S STRL SUTR LIN STPLR TL9        190.21                      50        CENTRAL SUPPLY
5016738   S STRL SUTR STPL RE TCR75        156.37                      50        CENTRAL SUPPLY
5016746   S STRL SUTR STPL RE TR30         130.08                      50        CENTRAL SUPPLY
5016753   S STRL SUTR STPL RE TR90         105.38                      50        CENTRAL SUPPLY
5016761   S STRL SUTR STPLR TP30           161.16                      50        CENTRAL SUPPLY
5016779   S STRL SUTRE STPL RELTR60        107.16                      50        CENTRAL SUPPLY
5016787   S STRL SUTRE STPL RETCR55        105.12                      50        CENTRAL SUPPLY
5060058   S STRL SUT-SURGIPRO 4-0            3.99                      50        CENTRAL SUPPLY
5017694   S STRL SUTURE 35W PRECISE         50.41                      50        CENTRAL SUPPLY
5016878   S STRL SUTURE AUTO 010667        181.59                      50        CENTRAL SUPPLY
5016886   S STRL SUTURE AUTO 010676        213.40                      50        CENTRAL SUPPLY
5016951   S STRL SUTURE AUTO 013611        374.03                      50        CENTRAL SUPPLY
5016969   S STRL SUTURE AUTO 013613        370.72                      50        CENTRAL SUPPLY
5016985   S STRL SUTURE AUTO 013616        393.75                      50        CENTRAL SUPPLY
5016993   S STRL SUTURE AUTO 013618        381.95                      50        CENTRAL SUPPLY
5017025   S STRL SUTURE AUTO 020242        138.94                      50        CENTRAL SUPPLY
5017082   S STRL SUTURE AUTO 030805        186.73                      50        CENTRAL SUPPLY
5017090   S STRL SUTURE AUTO 030807        186.73                      50        CENTRAL SUPPLY
5017108   S STRL SUTURE AUTO 030811        400.70                      50        CENTRAL SUPPLY
5017124   S STRL SUTURE AUTO 050284         50.74                      50        CENTRAL SUPPLY
5017181   S STRL SUTURE AUTO 054829         21.00                      50        CENTRAL SUPPLY
5017215   S STRL SUTURE AUTO 091451        242.17                      50        CENTRAL SUPPLY
5017298   S STRL SUTURE AUTO 111745        526.23                      50        CENTRAL SUPPLY
5017306   S STRL SUTURE AUTO 111757        533.29                      50        CENTRAL SUPPLY
5017314   S STRL SUTURE AUTO 111768        533.32                      50        CENTRAL SUPPLY
5017330   S STRL SUTURE AUTO 172015         48.43                      50        CENTRAL SUPPLY
5017348   S STRL SUTURE AUTO 172016         49.53                      50        CENTRAL SUPPLY
5017389   S STRL SUTURE AUTO 176607        120.42                      50        CENTRAL SUPPLY
5017413   S STRL SUTURE CLIP 132861        103.34                      50        CENTRAL SUPPLY



                                                      Page 39
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5017496   S STRL SUTURE ENDO 176613        195.58                      50        CENTRAL SUPPLY
5017439   S STRL SUTURE ENDO CATCH         157.46                      50        CENTRAL SUPPLY
5017447   S STRL SUTURE ENDO CHOLE         404.69                      50        CENTRAL SUPPLY
5017454   S STRL SUTURE ENDO CLINCH        162.97                      50        CENTRAL SUPPLY
5020953   S STRL SUTURE ENDO STITCH         68.81                      50        CENTRAL SUPPLY
5020938   S STRL SUTURE ENDO STITCH         52.28                      50        CENTRAL SUPPLY
5017488   S STRL SUTURE ENDO TROCAR        148.50                      50        CENTRAL SUPPLY
5017504   S STRL SUTURE ENDOBABCOCK        159.97                      50        CENTRAL SUPPLY
5017546   S STRL SUTURE LINEAR CUTR        233.75                      50        CENTRAL SUPPLY
5017538   S STRL SUTURE LINEAR CUTR        151.87                      50        CENTRAL SUPPLY
5017561   S STRL SUTURE REMOVAL KIT          2.70                      50        CENTRAL SUPPLY
5017579   S STRL SUTURE SEALUP CONV         16.22                      50        CENTRAL SUPPLY
5017595   S STRL SUTURE STABTY CS12         30.28                      50        CENTRAL SUPPLY
5032669   S STRL SUTURE STAPLER            680.75                      50        CENTRAL SUPPLY
5017603   S STRL SUTURE STAPLER0150        183.31                      50        CENTRAL SUPPLY
5017611   S STRL SUTURE STPLR TP60         191.05                      50        CENTRAL SUPPLY
5017637   S STRL SUTURE SURGITIE LP         26.75                      50        CENTRAL SUPPLY
5017660   S STRL SUTURE UNIVERS CAP         17.85                      50        CENTRAL SUPPLY
5017702   S STRL SUTURES                     6.63                      50        CENTRAL SUPPLY
5026166   S STRL SYNTH K WRE                18.15                      50        CENTRAL SUPPLY
5024054   S STRL TB COMBITB ESPH 37        135.93                      50        CENTRAL SUPPLY
5024047   S STRL TB COMBITB ESPH 41        135.93                      50        CENTRAL SUPPLY
5027214   S STRL TB DRN 12 F CROSBA         46.10                      50        CENTRAL SUPPLY
5026042   S STRL TB DRN VARI SZ             21.75                      50        CENTRAL SUPPLY
5029806   S STRL TB EAR REUFR BOBNS         30.00                      50        CENTRAL SUPPLY
5028857   S STRL TB END 4.5 CUFFED           4.96                      50        CENTRAL SUPPLY
5026513   S STRL TB END BRONCH LFT         196.00                      50        CENTRAL SUPPLY
5023726   S STRL TB END TRACH CHANG         15.27                      50        CENTRAL SUPPLY
5023791   S STRL TB EXT DRAIN                2.53                      50        CENTRAL SUPPLY
5028923   S STRL TB FEED 14 FR.KEO          27.00                      50        CENTRAL SUPPLY
5031158   S STRL TB FEED 20FR DCMP         140.00                      50        CENTRAL SUPPLY
5026620   S STRL TB GASTRSTMY 20F          164.00                      50        CENTRAL SUPPLY
5024245   S STRL TB GASTRSTMY 18F          411.25                      50        CENTRAL SUPPLY
5029020   S STRL TB GASTRSTMY MIC-G        106.56                      50        CENTRAL SUPPLY
5025705   S STRL TB INR CANN DIC6           10.80                      50        CENTRAL SUPPLY
5025713   S STRL TB INR CANULA DIC8         10.80                      50        CENTRAL SUPPLY
5025861   S STRL TB LARYNGECT TRACH         78.34                      50        CENTRAL SUPPLY
5025853   S STRL TB LARYNSCPY SERIE         19.02                      50        CENTRAL SUPPLY
5023981   S STRL TB NEPHRO LOF             267.75                      50        CENTRAL SUPPLY
5020607   S STRL TB NEPHRO SET12 F         264.25                      50        CENTRAL SUPPLY
5032941   S STRL TB PEDI-TRAKE KIT         307.56                      50        CENTRAL SUPPLY



                                                      Page 40
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5024641   S STRL TB TRACH 2 UNCF             3.60                      50        CENTRAL SUPPLY
5026117   S STRL TB TRACH 3. PEDI           82.36                      50        CENTRAL SUPPLY
5023775   S STRL TB TRACH 3.5 UNCFD          8.82                      50        CENTRAL SUPPLY
5026125   S STRL TB TRACH 4. PEDI           97.77                      50        CENTRAL SUPPLY
5025887   S STRL TB TRACH 5 FEN            315.17                      50        CENTRAL SUPPLY
5026133   S STRL TB TRACH 5. PEDI           97.77                      50        CENTRAL SUPPLY
5019393   S STRL TB TRACH EXT HOR 7        132.00                      50        CENTRAL SUPPLY
5019401   S STRL TB TRACH EXT HOR 8        132.00                      50        CENTRAL SUPPLY
5032982   S STRL TB TRACH INTRODUCR         18.36                      50        CENTRAL SUPPLY
5032974   S STRL TB TRACH INTRODUCR        154.40                      50        CENTRAL SUPPLY
5023395   S STRL TB TRACHEAL 96225           5.34                      50        CENTRAL SUPPLY
5023486   S STRL TBE NEPHRO ST 8 ER        267.75                      50        CENTRAL SUPPLY
5031281   S STRL THERMA TRACE CATH        1566.25                      50        CENTRAL SUPPLY
5017975   S STRL THORACENT TRP4341A        109.07                      50        CENTRAL SUPPLY
5020763   S STRL THROMB/EMBOLECTOMY         54.04                      50        CENTRAL SUPPLY
5006408   S STRL THROMB/EMBOLECTOMY         42.63                      50        CENTRAL SUPPLY
5006382   S STRL THROMB/EMBOLECTOMY         44.83                      50        CENTRAL SUPPLY
5029574   S STRL THROMB/EMBOLECTOMY         85.25                      50        CENTRAL SUPPLY
5027644   S STRL TIP CLMN ABS 9 30         150.00                      50        CENTRAL SUPPLY
5018049   S STRL TLS SURG DRAIN             76.85                      50        CENTRAL SUPPLY
5033055   S STRL TONSL/ADNOID CRTT         221.20                      50        CENTRAL SUPPLY
5031356   S STRL TORCAR 12MM LONG          110.04                      50        CENTRAL SUPPLY
5018197   S STRL TRACH CARE KIT              4.60                      50        CENTRAL SUPPLY
5033261   S STRL TRACH INTROD SET          478.63                      50        CENTRAL SUPPLY
5033139   S STRL TRACH INTROD SET          478.63                      50        CENTRAL SUPPLY
5033147   S STRL TRACH INTROD TRY          513.63                      50        CENTRAL SUPPLY
5018213   S STRL TRACHCARE                  37.02                      50        CENTRAL SUPPLY
5033683   S STRL TRAY CATH BBL LNM         271.25                      50        CENTRAL SUPPLY
5008768   S STRL TRAY PERCT INTRD          137.50                      50        CENTRAL SUPPLY
5007133   S STRL TRAY UNBI ARTERY          102.50                      50        CENTRAL SUPPLY
5033022   S STRL TRNDR PRES 2T STUP         58.43                      50        CENTRAL SUPPLY
5018510   S STRL TROCAR 18 TEC18           159.46                      50        CENTRAL SUPPLY
5031364   S STRL TROCAR 5 MM               150.29                      50        CENTRAL SUPPLY
5018486   S STRL TROCAR BLNT TIP 10        124.03                      50        CENTRAL SUPPLY
5018494   S STRL TROCAR REDUCER ETH         16.53                      50        CENTRAL SUPPLY
5018502   S STRL TROCAR TRISTAR10MM         89.02                      50        CENTRAL SUPPLY
5033667   S STRL TRY 5FR PIC DBLLNM        330.75                      50        CENTRAL SUPPLY
5022116   S STRL TRY CTH W/30CC SYR          6.35                      50        CENTRAL SUPPLY
5024179   S STRL TRY EPIDRL CONTIN          60.09                      50        CENTRAL SUPPLY
5023460   S STRL TRY EPIDRL SGL DSE         49.41                      50        CENTRAL SUPPLY
5011952   S STRL TRY LUMBAR PUNC AD         45.46                      50        CENTRAL SUPPLY



                                                      Page 41
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5024575   S STRL TRY SPACNE PRI CRD        102.00                      50        CENTRAL SUPPLY
5023742   S STRL TRY SPINL 25GA NDL         49.46                      50        CENTRAL SUPPLY
5026307   S STRL TRY TBNA PROCEDRE         104.50                      50        CENTRAL SUPPLY
5033717   S STRL TRY W/SAF 4FR SNGL        411.95                      50        CENTRAL SUPPLY
5018601   S STRL TUBE DRAIN PE91202          1.20                      50        CENTRAL SUPPLY
5018627   S STRL TUBE DRAIN PE91207          1.35                      50        CENTRAL SUPPLY
5018585   S STRL TUBE DRAIN PENROSE          1.08                      50        CENTRAL SUPPLY
5026299   S STRL TUBE DRAIN T-TYPE          39.00                      50        CENTRAL SUPPLY
5024252   S STRL TUBE DURARENT              57.75                      50        CENTRAL SUPPLY
5028774   S STRL TUBE E.T. 7.5               8.85                      50        CENTRAL SUPPLY
5028766   S STRL TUBE E.T. 7.O               8.85                      50        CENTRAL SUPPLY
5028782   S STRL TUBE E.T. 8.0               8.85                      50        CENTRAL SUPPLY
5028162   S STRL TUBE EAR SHEEHY            31.35                      50        CENTRAL SUPPLY
5025697   S STRL TUBE EAR SHEEHY            22.62                      50        CENTRAL SUPPLY
5032925   S STRL TUBE END LFT 41 FR        196.00                      50        CENTRAL SUPPLY
5032917   S STRL TUBE END RT 41 FR         193.06                      50        CENTRAL SUPPLY
5018726   S STRL TUBE ENDO 239400            4.09                      50        CENTRAL SUPPLY
5018734   S STRL TUBE ENDO 239418            7.65                      50        CENTRAL SUPPLY
5032966   S STRL TUBE ENDO 4.0               5.22                      50        CENTRAL SUPPLY
5018759   S STRL TUBE ENDO 43157060          4.68                      50        CENTRAL SUPPLY
5018767   S STRL TUBE ENDO 43157065         17.13                      50        CENTRAL SUPPLY
5018775   S STRL TUBE ENDO 43157070          5.04                      50        CENTRAL SUPPLY
5018783   S STRL TUBE ENDO 43157075          5.04                      50        CENTRAL SUPPLY
5018791   S STRL TUBE ENDO 43157080          5.04                      50        CENTRAL SUPPLY
5018809   S STRL TUBE ENDO 43157085         17.64                      50        CENTRAL SUPPLY
5018817   S STRL TUBE ENDO 43157090         17.64                      50        CENTRAL SUPPLY
5029798   S STRL TUBE ENDO 5.5              12.46                      50        CENTRAL SUPPLY
5018825   S STRL TUBE ENDO 6153600           8.80                      50        CENTRAL SUPPLY
5018833   S STRL TUBE ENDO 6154600           9.08                      50        CENTRAL SUPPLY
5018841   S STRL TUBE ENDO 6155600           8.94                      50        CENTRAL SUPPLY
5018858   S STRL TUBE ENDO 6156600           4.68                      50        CENTRAL SUPPLY
5032677   S STRL TUBE ENDO CUFF 3.5         18.09                      50        CENTRAL SUPPLY
5032685   S STRL TUBE ENDO CUFF 4.5         18.29                      50        CENTRAL SUPPLY
5018650   S STRL TUBE ENDO H/L86351         29.91                      50        CENTRAL SUPPLY
5018890   S STRL TUBE FEED BG192801          7.12                      50        CENTRAL SUPPLY
5018908   S STRL TUBE FEED KEO 3090         33.00                      50        CENTRAL SUPPLY
5018924   S STRL TUBE FEED PK 32             2.85                      50        CENTRAL SUPPLY
5018916   S STRL TUBE FEED PK30              2.01                      50        CENTRAL SUPPLY
5031166   S STRL TUBE GAS 24FR             120.72                      50        CENTRAL SUPPLY
5018965   S STRL TUBE GAST N/N 2042        192.50                      50        CENTRAL SUPPLY
5033725   S STRL TUBE GASTMY MIC           123.75                      50        CENTRAL SUPPLY



                                                      Page 42
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5033733   S STRL TUBE GASTMY STD           123.75                      50        CENTRAL SUPPLY
5018973   S STRL TUBE GASTROSTOMY           76.30                      50        CENTRAL SUPPLY
5019112   S STRL TUBE NAS CUFFD ALL         19.28                      50        CENTRAL SUPPLY
5019120   S STRL TUBE NAS UNCUF 3.0         11.20                      50        CENTRAL SUPPLY
5032651   S STRL TUBE NSL CUFFD             18.09                      50        CENTRAL SUPPLY
5032644   S STRL TUBE ORAL CUFFD            18.09                      50        CENTRAL SUPPLY
5019179   S STRL TUBE SALEM 18FR             4.83                      50        CENTRAL SUPPLY
5019161   S STRL TUBE SALEM SUMP16F          4.50                      50        CENTRAL SUPPLY
5019245   S STRL TUBE STOMACH PK10           3.66                      50        CENTRAL SUPPLY
5019260   S STRL TUBE STOMACH PK9            2.50                      50        CENTRAL SUPPLY
5019450   S STRL TUBE TRACH 510024         142.00                      50        CENTRAL SUPPLY
5025721   S STRL TUBE TRACH 6.0            119.62                      50        CENTRAL SUPPLY
5025739   S STRL TUBE TRACH 8.0            119.62                      50        CENTRAL SUPPLY
5024732   S STRL TUBE TRACH ALL             80.00                      50        CENTRAL SUPPLY
5026158   S STRL TUBE TRACH FENEST         111.24                      50        CENTRAL SUPPLY
5019443   S STRL TUBE TRACH RAE UNC         14.61                      50        CENTRAL SUPPLY
5019526   S STRL TUBE TRACK                 29.85                      50        CENTRAL SUPPLY
5018635   S STRL TUBE VENT ENT              33.08                      50        CENTRAL SUPPLY
5019534   S STRL TUBE WOUND 2572            55.00                      50        CENTRAL SUPPLY
5033428   S STRL TUBG STRYKR A PUMP        238.29                      50        CENTRAL SUPPLY
5026174   S STRL TUVE TRACH FENEST         111.24                      50        CENTRAL SUPPLY
5027008   S STRL URETERAL                   53.62                      50        CENTRAL SUPPLY
5026232   S STRL URETERAL                   33.00                      50        CENTRAL SUPPLY
5022025   S STRL URETERAL                  533.75                      50        CENTRAL SUPPLY
5022017   S STRL URETERAL CTH LP           271.25                      50        CENTRAL SUPPLY
5024104   S STRL URETERAL STENT KIT        236.25                      50        CENTRAL SUPPLY
5019757   S STRL UTERINE MANIP 1151         70.13                      50        CENTRAL SUPPLY
5019765   S STRL UTERINE MANP TIP           94.77                      50        CENTRAL SUPPLY
5019856   S STRL VACURET 6MM 21665           8.43                      50        CENTRAL SUPPLY
5019872   S STRL VACURET 7MM 9CB107         13.20                      50        CENTRAL SUPPLY
5019781   S STRL VACURET TIP ALL            14.10                      50        CENTRAL SUPPLY
5019922   S STRL VACURETTE 11MM             11.25                      50        CENTRAL SUPPLY
5019971   S STRL VAS GAUZ 1/2 54116          3.82                      50        CENTRAL SUPPLY
5019989   S STRL VAS GAUZ 1X8 54176          1.80                      50        CENTRAL SUPPLY
5019997   S STRL VAS GAUZ1X36 54126          2.14                      50        CENTRAL SUPPLY
5020003   S STRL VAS GAUZ3X18 54146          2.25                      50        CENTRAL SUPPLY
5020029   S STRL VAS GAUZ6X36 54166          4.51                      50        CENTRAL SUPPLY
5020383   S STRL WETFIELD CORDS              8.85                      50        CENTRAL SUPPLY
5021084   S STRL WOUND PAKING 4X4           11.43                      50        CENTRAL SUPPLY
5020458   S STRL XEROFORM 1X8 54333          2.40                      50        CENTRAL SUPPLY
5020466   S STRL XEROFORM 4X3 54320         11.78                      50        CENTRAL SUPPLY



                                                      Page 43
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5020474   S STRL XEROFORM 5X9 54336          3.13                      50        CENTRAL SUPPLY
7101835   11 DEOXYCORTICOSTERONE            49.00                      71        CLINICAL LAB
7120827   11 DEOXYCORTISOL                  36.00                      71        CLINICAL LAB
7100159   17 OH CORTICOSTERIODS             31.15                      71        CLINICAL LAB
7100183   17 OH PREGNENOLONE                33.25                      71        CLINICAL LAB
7119498   17 OH PROGESTRONE                 20.35                      71        CLINICAL LAB
7119217   17 OH PROGESTRONE                 60.00                      71        CLINICAL LAB
7115058   5 HIAA UR                          9.05                      71        CLINICAL LAB
7101637   5 HIAA UR                         15.60                      71        CLINICAL LAB
7119100   5 NUCLEOTIDASE                    52.61                      71        CLINICAL LAB
7100779   ACE (ANGIOTN CONVR ENZ)           12.00                      71        CLINICAL LAB
7105497   ACETAMINOPHEN                    299.00                      71        CLINICAL LAB
7101900   ACETYLCHOLINE REC BIND AB         45.00                      71        CLINICAL LAB
7108392   ACETYLCHOLINE REC BLCK AB         48.00                      71        CLINICAL LAB
7120561   ACETYLCHOLINE REC MOD AB          59.00                      71        CLINICAL LAB
7100472   ACID PHOS PROSTATIC                9.75                      71        CLINICAL LAB
7100506   ACTH                              25.00                      71        CLINICAL LAB
7119258   ACYLCARNITINES QN EA              86.00                      71        CLINICAL LAB
7100514   ADENOVIRUS AB                     22.00                      71        CLINICAL LAB
7103674   ADENOVIRUS DFA                    22.00                      71        CLINICAL LAB
7105174   ADH (VASOPRESSIN)                 25.00                      71        CLINICAL LAB
7100555   ADRENAL AB SCRN                   25.00                      71        CLINICAL LAB
7103948   AFB CULT                          25.12                      71        CLINICAL LAB
7108319   AFB CULT (SPUTUM)                 59.00                      71        CLINICAL LAB
7120108   AFB CULT BLD                      75.00                      71        CLINICAL LAB
7140064   AFP TUMOR MARKER                  36.00                      71        CLINICAL LAB
7100589   AFP TUMOR MARKER                  11.00                      71        CLINICAL LAB
7108541   AG DETECT EIA MULT STEP           24.00                      71        CLINICAL LAB
7104045   AG DETECT EIA MULT STEP           53.00                      71        CLINICAL LAB
7119522   AG DETECT NOS DNA AMP            171.00                      71        CLINICAL LAB
7107329   AG DETECT NOS DNA AMP             85.00                      71        CLINICAL LAB
7113053   ALBUMIN                            8.00                      71        CLINICAL LAB
7105562   ALBUMIN                           73.00                      71        CLINICAL LAB
7113087   ALBUMIN FLD                       12.50                      71        CLINICAL LAB
7103617   ALBUMIN FLD                       77.00                      71        CLINICAL LAB
7105570   ALCOHOL (ETHANOL)                161.00                      71        CLINICAL LAB
7100647   ALCOHOL (ETHANOL)                 10.00                      71        CLINICAL LAB
7108053   ALCOHOL (ETHANOL) UR             161.00                      71        CLINICAL LAB
7105166   ALCOHOL BREATH                    28.00                      71        CLINICAL LAB
7105000   ALCOHOL BREATH                    59.50                      71        CLINICAL LAB
7100654   ALDOLASE                           8.50                      71        CLINICAL LAB



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7100662   ALDOSTERONE                      27.00                      71        CLINICAL LAB
7100209   ALDOSTERONE UR                   39.00                      71        CLINICAL LAB
7110950   ALK PHOS ISOENZYMES              11.22                      71        CLINICAL LAB
7108384   ALK PHOSPHATASE                  19.50                      71        CLINICAL LAB
7105588   ALK PHOSPHATASE                  77.00                      71        CLINICAL LAB
7103625   ALK PHOSPHATASE                  77.00                      71        CLINICAL LAB
7100803   ALK PHOSPHATASE                   5.78                      71        CLINICAL LAB
7120223   ALLERGEN SPECIFIC IGE QN          3.84                      71        CLINICAL LAB
7108103   ALLERGEN SPECIFIC IGE QN         14.51                      71        CLINICAL LAB
7107584   ALLERGEN SPECIFIC IGE QN          6.45                      71        CLINICAL LAB
7101207   ALLERGEN SPECIFIC IGE QN          5.93                      71        CLINICAL LAB
7101074   ALLERGEN SPECIFIC IGE QN          7.35                      71        CLINICAL LAB
7119936   ALLERGEN SPECIFIC IGG QN         26.47                      71        CLINICAL LAB
7100456   ALPHA 1 ANTITRYPSIN              13.25                      71        CLINICAL LAB
7100597   ALT (SGPT)                       77.00                      71        CLINICAL LAB
7100670   ALUMINUM                         22.00                      71        CLINICAL LAB
7100712   AMIKACIN                         15.00                      71        CLINICAL LAB
7100431   AMINO ACID BLD QNT 2-5           75.50                      71        CLINICAL LAB
7100464   AMINO ACID UR QNT 2-5            75.50                      71        CLINICAL LAB
7102643   AMINO ACIDS CSF >5 QN           170.25                      71        CLINICAL LAB
7100449   AMINO ACIDS MULT QL              19.00                      71        CLINICAL LAB
7107923   AMINO ACIDS PLAS >5 QN           96.50                      71        CLINICAL LAB
7119290   AMINO ACIDS SGL QN               75.50                      71        CLINICAL LAB
7102650   AMINO ACIDS UR >5 QN            131.00                      71        CLINICAL LAB
7100696   AMIODARONE                       29.00                      71        CLINICAL LAB
7100704   AMITRIPTYLINE                    23.00                      71        CLINICAL LAB
7100720   AMMONIA                         215.00                      71        CLINICAL LAB
7117666   AMPHETAMINE QN                   48.75                      71        CLINICAL LAB
7119787   AMPHETAMINE SCRN                  7.50                      71        CLINICAL LAB
7105778   AMPHETAMINE SCRN                152.00                      71        CLINICAL LAB
7103633   AMYLASE                         100.00                      71        CLINICAL LAB
7100910   AMYLASE                         100.00                      71        CLINICAL LAB
7105786   AMYLASE UR RAN                  149.00                      71        CLINICAL LAB
7105794   AMYLASE UR TIM                  242.00                      71        CLINICAL LAB
7140270   ANA (ANTI NUCLEAR AB)            40.00                      71        CLINICAL LAB
7118243   ANA (ANTI NUCLEAR AB)            10.27                      71        CLINICAL LAB
7102395   ANA (ANTI NUCLEAR AB)             7.27                      71        CLINICAL LAB
7140346   ANA TTR                          24.00                      71        CLINICAL LAB
7120710   ANDROSTENEDIONE                  21.00                      71        CLINICAL LAB
7112584   ANTI DNA DBL STRAND              12.00                      71        CLINICAL LAB
7112816   ANTI PARIETAL CELLS AB           17.00                      71        CLINICAL LAB



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7110802   ANTI RNP AB                       18.00                      71        CLINICAL LAB
7100571   ANTI SM AB                        18.00                      71        CLINICAL LAB
7118268   ANTINEUTROPHILIC AB               31.26                      71        CLINICAL LAB
7117575   ANTINEUTROPHILIC AB               17.50                      71        CLINICAL LAB
7112477   ANTIRETICULIN AB W/RFX            13.20                      71        CLINICAL LAB
7100829   ARSENIC BLD                       19.00                      71        CLINICAL LAB
7100282   ARSENIC UR                        10.00                      71        CLINICAL LAB
7105273   ASCORBIC ACID                     14.00                      71        CLINICAL LAB
7100852   ASO TTR                           21.00                      71        CLINICAL LAB
7100860   ASPERGILLUS AB                     6.17                      71        CLINICAL LAB
7100977   AST (SGOT)                        77.00                      71        CLINICAL LAB
7100878   AT3 ACTIVITY                      19.00                      71        CLINICAL LAB
7100902   ATRIAL NATRIURETIC PROT           73.01                      71        CLINICAL LAB
7119704   AUTO DIFF WBC COUNT                5.00                      71        CLINICAL LAB
7120132   B CELLS TOTAL CNT                 24.50                      71        CLINICAL LAB
7118490   B CELLS TOTAL CNT                 13.70                      71        CLINICAL LAB
7118466   B CELLS TOTAL CNT                 25.00                      71        CLINICAL LAB
7101066   B PERTUSSIS/PARAPERT DFA          10.00                      71        CLINICAL LAB
7108038   B QUINTANA IGG AB                  6.03                      71        CLINICAL LAB
7110943   B QUINTANA IGM AB                  6.02                      71        CLINICAL LAB
7120835   BACTERIAL AG EA AG                18.00                      71        CLINICAL LAB
7119571   BACTERIAL AG EA AG                 8.00                      71        CLINICAL LAB
7105802   BARBITURATES SCRN                 53.00                      71        CLINICAL LAB
7110885   BARTONELLA AB IGG                  6.01                      71        CLINICAL LAB
7110919   BARTONELLA AB IGM                  6.01                      71        CLINICAL LAB
7107303   BASIC METABOLIC PNL              126.00                      71        CLINICAL LAB
7105810   BENZODIAZEPINE SCRN               53.00                      71        CLINICAL LAB
7119894   BENZODIAZEPINES                   48.22                      71        CLINICAL LAB
7117104   BENZODIAZEPINES                   16.50                      71        CLINICAL LAB
7118607   BETA 2 GLYCOPROTN I AB EA         24.76                      71        CLINICAL LAB
7104714   BETA HCG QN                      222.00                      71        CLINICAL LAB
7102536   BETA HCG QN                       11.00                      71        CLINICAL LAB
7100969   BETA2 MICROGLOBULIN               19.95                      71        CLINICAL LAB
7100985   BILIRUBIN DIRECT                  73.00                      71        CLINICAL LAB
7105620   BILIRUBIN NEONATAL                73.00                      71        CLINICAL LAB
7103641   BILIRUBIN TOTAL                   73.00                      71        CLINICAL LAB
7101009   BILIRUBIN TOTAL                   73.00                      71        CLINICAL LAB
7120678   BK VIRUS DNA QUANT PCR           224.40                      71        CLINICAL LAB
7101058   BLASTOMYCES AB                    19.35                      71        CLINICAL LAB
7117138   BLD CNT RBC AUTO                   2.42                      71        CLINICAL LAB
7102056   BLD FATTY ACIDS                   15.00                      71        CLINICAL LAB



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                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7105430   BLD GAS ART                      287.00                      71        CLINICAL LAB
7105455   BLD GAS CAP                      287.00                      71        CLINICAL LAB
7105448   BLD GAS CORD ART                 287.00                      71        CLINICAL LAB
7106305   BLD SMR EXAM W MAN DIFF           50.00                      71        CLINICAL LAB
7106420   BLEEDING TIME TEST                65.00                      71        CLINICAL LAB
7108764   BODY FLUID PH NOT BLOOD           20.00                      71        CLINICAL LAB
7100118   BODY FLUID PH NOT BLOOD           54.00                      71        CLINICAL LAB
7116593   BORDETELLA AB                     15.00                      71        CLINICAL LAB
7118052   BORELLIA BURG AMP PRB            125.00                      71        CLINICAL LAB
7114200   BRUCELLA AB                       16.00                      71        CLINICAL LAB
7119688   B-TYP NATRIURETIC PEPTIDE         95.00                      71        CLINICAL LAB
7101041   BUN                               57.00                      71        CLINICAL LAB
7106818   C DIFFICILE TOXIN EIA            176.00                      71        CLINICAL LAB
7101223   C DIFFICILE TOXIN EIA             18.00                      71        CLINICAL LAB
7101546   C PEPTIDE                         16.00                      71        CLINICAL LAB
7140031   C REACTIVE PROTEIN                11.00                      71        CLINICAL LAB
7101553   C REACTIVE PROTEIN                20.75                      71        CLINICAL LAB
7140387   C REACTIVE PROTEIN HS             28.00                      71        CLINICAL LAB
7140072   CA 125                            44.00                      71        CLINICAL LAB
7101116   CA 125                            15.25                      71        CLINICAL LAB
7140080   CA 15 3 (27.29)                   44.00                      71        CLINICAL LAB
7107550   CA 15 3 (27.29)                   14.00                      71        CLINICAL LAB
7100373   CA 15 3 (27.29)                   15.00                      71        CLINICAL LAB
7101173   CA 19 9                           15.30                      71        CLINICAL LAB
7120454   CADMIUM                           25.50                      71        CLINICAL LAB
7104409   CALC ANALYSIS INFRARED            25.00                      71        CLINICAL LAB
7101330   CALCITONIN                        27.50                      71        CLINICAL LAB
7113350   CALCIUM                            5.00                      71        CLINICAL LAB
7102163   CALCIUM                           77.00                      71        CLINICAL LAB
7103005   CALCIUM IONIZED                   10.00                      71        CLINICAL LAB
7113731   CALCIUM UR 24HR                    4.00                      71        CLINICAL LAB
7105828   CALCIUM UR RAN                    88.00                      71        CLINICAL LAB
7105836   CALCIUM UR TIM                    88.00                      71        CLINICAL LAB
7119233   CANDIDA AB                        14.00                      71        CLINICAL LAB
7119225   CANDIDA AB                        14.00                      71        CLINICAL LAB
7119068   CANDIDA AB                        14.00                      71        CLINICAL LAB
7119050   CANDIDA AG LA                     30.21                      71        CLINICAL LAB
7119779   CANNABINOID SCRN                   7.50                      71        CLINICAL LAB
7106065   CANNABINOID SCRN                  63.00                      71        CLINICAL LAB
7110588   CAPILLARY PUNCTURE                 7.00                      71        CLINICAL LAB
7117229   CARBAMAZEPINE TOTAL               16.00                      71        CLINICAL LAB



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7102171   CARBAMAZEPINE TOTAL             215.00                      71        CLINICAL LAB
7105471   CARBON MONOXIDE                 184.00                      71        CLINICAL LAB
7108715   CARDIOLIPIN AB                   26.13                      71        CLINICAL LAB
7118631   CARDIOLIPIN IGA AB               22.69                      71        CLINICAL LAB
7118649   CARDIOLIPIN IGG AB               17.50                      71        CLINICAL LAB
7118623   CARDIOLIPIN IGM AB               17.50                      71        CLINICAL LAB
7101181   CARNITINE FREE & TOTAL           31.00                      71        CLINICAL LAB
7101199   CAROTENE                         15.00                      71        CLINICAL LAB
7101215   CATECHOL FRAC PLAS               27.50                      71        CLINICAL LAB
7100217   CATECHOL FRAC UR                 27.50                      71        CLINICAL LAB
7106289   CBC AUTO                         96.00                      71        CLINICAL LAB
7106156   CBC AUTO W AUTO DIFF WBC        115.00                      71        CLINICAL LAB
7119480   CCP AB IGG                       45.00                      71        CLINICAL LAB
7140098   CEA                              40.00                      71        CLINICAL LAB
7104425   CEA                               9.75                      71        CLINICAL LAB
7106172   CELL CNT FLD W/ DIFF             80.00                      71        CLINICAL LAB
7119977   CELL MARKR INTERPRET 16+          9.37                      71        CLINICAL LAB
7118433   CELL MARKR TECH EA ADDL           9.29                      71        CLINICAL LAB
7118425   CELL MARKR TECH ONLY 1ST          9.29                      71        CLINICAL LAB
7111016   CENTROMERE SCREEN                19.00                      71        CLINICAL LAB
7140015   CERULOPLASMIN                    23.00                      71        CLINICAL LAB
7101249   CERULOPLASMIN                     9.75                      71        CLINICAL LAB
7101256   CHLAMYDIA AB                     17.50                      71        CLINICAL LAB
7117773   CHLAMYDIA AB IGA                  8.44                      71        CLINICAL LAB
7117781   CHLAMYDIA AB IGG                  8.44                      71        CLINICAL LAB
7117534   CHLAMYDIA AB IGG                  8.50                      71        CLINICAL LAB
7117765   CHLAMYDIA AB IGM                  8.44                      71        CLINICAL LAB
7117542   CHLAMYDIA AB IGM                  8.33                      71        CLINICAL LAB
7105042   CHLAMYDIA AG DFA                 15.00                      71        CLINICAL LAB
7107261   CHLAMYDIA CULT                   76.60                      71        CLINICAL LAB
7105034   CHLAMYDIA CULT                   16.10                      71        CLINICAL LAB
7117492   CHLAMYDIA TRACH AMP PRB          30.00                      71        CLINICAL LAB
7106602   CHLAMYDIA TRACH AMP PRB          95.00      74.00           71        CLINICAL LAB
7103542   CHLORIDE                         69.00                      71        CLINICAL LAB
7103666   CHLORIDE FLD                     73.00                      71        CLINICAL LAB
7105844   CHLORIDE UR                      73.00                      71        CLINICAL LAB
7105851   CHLORIDE UR TIM                  73.00                      71        CLINICAL LAB
7103492   CHOLESTEROL                      65.00                      71        CLINICAL LAB
7103658   CHOLESTEROL FLD                  65.00                      71        CLINICAL LAB
7101280   CHOLINESTERASE RBC               12.38                      71        CLINICAL LAB
7111180   CHOLINESTERASE SER               12.37                      71        CLINICAL LAB



                                                     Page 48
                                  af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7114846   CHRMOSOM CNT/KARY             96.90                      71        CLINICAL LAB
7120025   CHROMIUM                      22.25                      71        CLINICAL LAB
7100241   CITRATE UR 24HR               12.00                      71        CLINICAL LAB
7103534   CK MB FRACTION               172.00                      71        CLINICAL LAB
7103518   CK TOTAL                      96.00                      71        CLINICAL LAB
7101348   CK TOTAL                       5.25                      71        CLINICAL LAB
7110661   CMV AB IGG                    11.00                      71        CLINICAL LAB
7101421   CMV AB IGM                    11.00                      71        CLINICAL LAB
7118995   CMV AMP PRB                   87.50                      71        CLINICAL LAB
7108749   CMV AMP PRB                  185.00                      71        CLINICAL LAB
7108731   CMV DNA QN                   109.00                      71        CLINICAL LAB
7103559   CO2 (BICARBONATE)             73.00                      71        CLINICAL LAB
7118581   COCAINE QN                    48.75                      71        CLINICAL LAB
7119795   COCAINE SCRN                   7.50                      71        CLINICAL LAB
7105869   COCAINE SCRN                  52.00                      71        CLINICAL LAB
7118219   COCCIDIOIDES AB               22.50                      71        CLINICAL LAB
7101470   COCCIDIOIDES AB               16.00                      71        CLINICAL LAB
7105018   COLD AGGLUTININ TTR          119.00                      71        CLINICAL LAB
7117831   COMPLEMENT C1 Q                6.75                      71        CLINICAL LAB
7114838   COMPLEMENT C2                 19.00                      71        CLINICAL LAB
7140049   COMPLEMENT C3                 25.00                      71        CLINICAL LAB
7101157   COMPLEMENT C3                  8.00                      71        CLINICAL LAB
7140023   COMPLEMENT C4                 25.00                      71        CLINICAL LAB
7107998   COMPLEMENT C4                  8.00                      71        CLINICAL LAB
7117823   COMPLEMENT C5                 33.00                      71        CLINICAL LAB
7101264   COMPLEMENT TOT (CH50)         11.00                      71        CLINICAL LAB
7101447   COMPR MET PNL                157.00                      71        CLINICAL LAB
7113798   COPPER                        15.00                      71        CLINICAL LAB
7116924   COPPER UR 24HR                18.00                      71        CLINICAL LAB
7119753   CORTISOL FREE SER             58.00                      71        CLINICAL LAB
7117260   CORTISOL FREE UR              21.25                      71        CLINICAL LAB
7101504   CORTISOL TOTAL                10.00                      71        CLINICAL LAB
7111297   COXSACKIE AB TYP A            14.95                      71        CLINICAL LAB
7111263   COXSACKIE AB TYP A            14.95                      71        CLINICAL LAB
7108756   COXSACKIE AB TYP A            39.45                      71        CLINICAL LAB
7116882   C-REACTIVE PROTEIN HS         12.11                      71        CLINICAL LAB
7101587   CREATINE UR 24HR              13.00                      71        CLINICAL LAB
7120165   CREATININE                     5.00                      71        CLINICAL LAB
7103575   CREATININE                    77.00                      71        CLINICAL LAB
7103567   CREATININE CLEARANCE         138.00                      71        CLINICAL LAB
7103740   CREATININE FLD                77.00                      71        CLINICAL LAB



                                                  Page 49
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7120009   CREATININE UR                      7.00                      71        CLINICAL LAB
7117880   CREATININE UR                      6.00                      71        CLINICAL LAB
7140411   CREATININE UR RAN                 11.00                      71        CLINICAL LAB
7117906   CREATININE UR RAN                  4.45                      71        CLINICAL LAB
7105877   CREATININE UR RAN                 77.00                      71        CLINICAL LAB
7105885   CREATININE UR TIM                 77.00                      71        CLINICAL LAB
7101595   CRYOGLOB QL OR SEMI QL             5.00                      71        CLINICAL LAB
7117740   CRYPTO AG DFA                     22.20                      71        CLINICAL LAB
7114226   CRYPTO NEOFORMANS EIA             13.75                      71        CLINICAL LAB
7101520   CRYPTOCOCCUS AB                   25.00                      71        CLINICAL LAB
7106354   CRYSTAL ID TISS/FLD NO UR        169.00                      71        CLINICAL LAB
7106214   CRYSTAL ID TISS/FLD NO UR        169.00                      71        CLINICAL LAB
7108293   CULT BACT ANAEROBIC              142.00                      71        CLINICAL LAB
7101496   CULT BACT ANAEROBIC              142.00                      71        CLINICAL LAB
7115025   CULT BETA STREP A ONLY            30.00                      71        CLINICAL LAB
7106768   CULT BETA STREP A ONLY           100.00                      71        CLINICAL LAB
7106933   CULT BLD BACTERIA                153.00                      71        CLINICAL LAB
7106552   CULT BODY FLUID                  126.00                      71        CLINICAL LAB
7101579   CULT CATHETER TIP                126.00                      71        CLINICAL LAB
7101405   CULT CMV                          15.00                      71        CLINICAL LAB
7100795   CULT CSF                         126.00                      71        CLINICAL LAB
7101488   CULT EAR                         126.00                      71        CLINICAL LAB
7106529   CULT ENVIRONMENT                 126.00                      71        CLINICAL LAB
7106537   CULT EYE                         126.00                      71        CLINICAL LAB
7102072   CULT FUNG SKIN HAIR NAIL          25.00                      71        CLINICAL LAB
7120769   CULT FUNGUS MOLD ID               25.00                      71        CLINICAL LAB
7102007   CULT FUNGUS OTHER SOURCE          15.00                      71        CLINICAL LAB
7106578   CULT FUNGUS YEAST ID             153.00                      71        CLINICAL LAB
7106594   CULT GC SCRN                     100.00                      71        CLINICAL LAB
7106776   CULT GRP B STREP SCRN            100.00                      71        CLINICAL LAB
7117922   CULT HSV                          21.00                      71        CLINICAL LAB
7103310   CULT LEGIONELLA                   30.00                      71        CLINICAL LAB
7106743   CULT LOWER RESPIRATORY           126.00                      71        CLINICAL LAB
7106677   CULT MISC                        126.00                      71        CLINICAL LAB
7106685   CULT MRSA SCRN                   100.00                      71        CLINICAL LAB
7106784   CULT NOSE/THROAT                 126.00                      71        CLINICAL LAB
7106792   CULT OTHER SOURCE AEROBIC        126.00                      71        CLINICAL LAB
7100019   CULT SCRN W/ COLONY EST          126.00                      71        CLINICAL LAB
7106750   CULT STL SALM & SHIG             138.00                      71        CLINICAL LAB
7108806   CULT STL YERSINIA EA PLT          15.00                      71        CLINICAL LAB
7111156   CULT TYP FLUORESCENT               7.00                      71        CLINICAL LAB



                                                      Page 50
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7106628   CULT UROGENITAL                  126.00                      71        CLINICAL LAB
7100027   CULT VRE SCRN                    100.00                      71        CLINICAL LAB
7100050   CULT WOUND                       126.00                      71        CLINICAL LAB
7105240   CULTVIRAL                         30.00                      71        CLINICAL LAB
7118235   CYANIDE SCRN                      20.99                      71        CLINICAL LAB
7100738   CYCLIC AMP                        27.50                      71        CLINICAL LAB
7120231   CYCLIC CITRUNILATED PEPTI         45.00                      71        CLINICAL LAB
7140361   CYCLOSPORINE                      39.00                      71        CLINICAL LAB
7113822   CYCLOSPORINE                      25.35                      71        CLINICAL LAB
7101678   CYSTICERCOSIS AB                  50.00                      71        CLINICAL LAB
7101686   CYSTINE UR QN                     43.00                      71        CLINICAL LAB
7114879   CYTGNTC INTERP/RPRT               33.94                      71        CLINICAL LAB
7118904   D DIMER QN                       149.00                      71        CLINICAL LAB
7107956   D DIMER QN                        35.00                      71        CLINICAL LAB
7101702   DELTA ALA                         27.50                      71        CLINICAL LAB
7100266   DELTA ALA                         28.00                      71        CLINICAL LAB
7106669   DEOXYPYRIDINOLINE                 55.00                      71        CLINICAL LAB
7120751   DEOXYRIBNUCLEASE AB               16.00                      71        CLINICAL LAB
7101736   DESIPRAMINE                       18.25                      71        CLINICAL LAB
7120116   DEXAMETHASONE                     63.30                      71        CLINICAL LAB
7101751   DHEA                              25.00                      71        CLINICAL LAB
7101744   DHEA SULFATE                      12.00                      71        CLINICAL LAB
7103591   DIGOXIN                          195.00                      71        CLINICAL LAB
7119126   DIPTHERIA AB                      30.25                      71        CLINICAL LAB
7112501   DNA DBL STRAND AB SCRN            12.50                      71        CLINICAL LAB
7114192   DNA HISTOGRAM                     65.00                      71        CLINICAL LAB
7120504   DNA PRB CYTGNTC 10 30            108.03                      71        CLINICAL LAB
7120496   DNA PRB CYTGNTC EA               108.03                      71        CLINICAL LAB
7101827   DOXEPIN                           22.00                      71        CLINICAL LAB
7107212   DRG SCRN QL CHROM EA              35.00                      71        CLINICAL LAB
7105901   DRG SCRN QL CHROM EA             215.00                      71        CLINICAL LAB
7116726   EBV AB EBNA                        5.07                      71        CLINICAL LAB
7117476   EBV DNA QNT PCR                  129.00                      71        CLINICAL LAB
7101868   EBV VCA AB IGG                    12.00                      71        CLINICAL LAB
7116742   EBV VCA AB IGM                    12.00                      71        CLINICAL LAB
7107170   ELECTROLYTE PNL                  103.00                      71        CLINICAL LAB
7118201   ENDOMYSIAL AB SCRN                43.00                      71        CLINICAL LAB
7106198   EOSINPHILS SMR NASAL              69.00                      71        CLINICAL LAB
7101892   EPINEPHRINE                       25.00                      71        CLINICAL LAB
7101918   ERYTHROPOIETIN                    20.43                      71        CLINICAL LAB
7140106   ESTRADIOL (E2)                    60.00                      71        CLINICAL LAB



                                                      Page 51
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7110968   ESTRADIOL (E2)                  18.50                      71        CLINICAL LAB
7101934   ESTRIOL                         17.00                      71        CLINICAL LAB
7100274   ESTRIOL                         33.50                      71        CLINICAL LAB
7101959   ESTROGEN TOTAL                  26.00                      71        CLINICAL LAB
7101926   ESTRONE                         15.50                      71        CLINICAL LAB
7101967   ETHOSUXIMIDE                    17.10                      71        CLINICAL LAB
7120512   ETHYLENE GLYCOL                 24.92                      71        CLINICAL LAB
7100076   FAT STAIN QL                    65.00                      71        CLINICAL LAB
7118326   FAT STL QL                      23.00                      71        CLINICAL LAB
7101991   FAT STL QN                      44.80                      71        CLINICAL LAB
7118599   FCTR II                         78.00                      71        CLINICAL LAB
7117690   FCTR IX                         67.50                      71        CLINICAL LAB
7118938   FCTR V                          49.00                      71        CLINICAL LAB
7113889   FCTR VIII                       45.00                      71        CLINICAL LAB
7108574   FCTR VIII VW                    60.00                      71        CLINICAL LAB
7105307   FCTR VIII VW AG                 59.00                      71        CLINICAL LAB
7119472   FCTR X                          59.00                      71        CLINICAL LAB
7120181   FCTR XI                         49.00                      71        CLINICAL LAB
7118920   FCTR XII                        49.00                      71        CLINICAL LAB
7103757   FERRITIN                       203.00                      71        CLINICAL LAB
7102015   FERRITIN                         8.25                      71        CLINICAL LAB
7140726   FETAL FIBRONECTIN              138.00                      71        CLINICAL LAB
7106438   FIBRIN DEGRAD PROD             103.00                      71        CLINICAL LAB
7106446   FIBRINOGEN                     126.00                      71        CLINICAL LAB
7140312   FOLATE                          32.00                      71        CLINICAL LAB
7100944   FOLATE                           6.00                      71        CLINICAL LAB
7102148   FOLATE RBC                      19.90                      71        CLINICAL LAB
7104771   FREE T4                          8.30                      71        CLINICAL LAB
7103849   FREE T4                        134.00                      71        CLINICAL LAB
7102213   FREE T4                         22.00                      71        CLINICAL LAB
7102197   FRUCTOSAMINE                    10.25                      71        CLINICAL LAB
7140122   FSH                             40.00                      71        CLINICAL LAB
7102205   FSH                              8.75                      71        CLINICAL LAB
7102239   FTA ABS (TPPA)                   8.85                      71        CLINICAL LAB
7118078   FUNCTIONAL C1 INHIB EIA         17.00                      71        CLINICAL LAB
7101728   G6PD QN                         14.00                      71        CLINICAL LAB
7104003   GABAPENTIN                      25.00                      71        CLINICAL LAB
7102320   GANGLIOSIDE GMI AUTO AB         35.00                      71        CLINICAL LAB
7102270   GASTRIN                         15.00                      71        CLINICAL LAB
7102288   GBM AB                          42.00                      71        CLINICAL LAB
7117500   GC AMP PRB                      30.00                      71        CLINICAL LAB



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                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7106610   GC AMP PRB                        88.00      75.00           71        CLINICAL LAB
7103922   GENTAMICIN                       241.00                      71        CLINICAL LAB
7103955   GENTAMICIN PK                    241.00                      71        CLINICAL LAB
7103963   GENTAMICIN TR                    241.00                      71        CLINICAL LAB
7103906   GGT                              107.00                      71        CLINICAL LAB
7102338   GIARDIA AG EIA                    21.25                      71        CLINICAL LAB
7118805   GLIADIN AB IGA                    14.25                      71        CLINICAL LAB
7118813   GLIADIN AB IGG                    14.25                      71        CLINICAL LAB
7104383   GLUC PRENAT 50 GM SCRN            69.00                      71        CLINICAL LAB
7102312   GLUCAGON                          25.00                      71        CLINICAL LAB
7106255   GLUCOSE                           57.00                      71        CLINICAL LAB
7104367   GLUCOSE                           57.00                      71        CLINICAL LAB
7104268   GLUCOSE                           57.00                      71        CLINICAL LAB
7104177   GLUCOSE                           57.00                      71        CLINICAL LAB
7104078   GLUCOSE 1HR PP                    69.00                      71        CLINICAL LAB
7104086   GLUCOSE 2HR PP                    69.00                      71        CLINICAL LAB
7102791   GLUCOSE CSF                       57.00                      71        CLINICAL LAB
7103765   GLUCOSE FLD                       57.00                      71        CLINICAL LAB
7116916   GLUCOSE POST GLUCOSE DOSE         69.00                      71        CLINICAL LAB
7105927   GLUCOSE UR QN                     57.00                      71        CLINICAL LAB
7105919   GLUCOSE UR QN                     57.00                      71        CLINICAL LAB
7117856   GLUT ACID DECARB AUTO AB          69.00                      71        CLINICAL LAB
7102296   GROWTH HORMONE                    12.50                      71        CLINICAL LAB
7107477   GTT 2HR 1ST 3 SPEC               192.00                      71        CLINICAL LAB
7104581   GTT 3HR 1ST 3 SPEC               192.00                      71        CLINICAL LAB
7104524   GTT 3HR 1ST 3 SPEC               192.00                      71        CLINICAL LAB
7104664   GTT 4HR 1ST 3 SPEC               192.00                      71        CLINICAL LAB
7104656   GTT 4HR 1ST 3 SPEC               192.00                      71        CLINICAL LAB
7104631   GTT 4HR 1ST 3 SPEC               192.00                      71        CLINICAL LAB
7101025   H PYLORI (NOT STL) EIA           176.00                      71        CLINICAL LAB
7111842   H PYLORI AB IGA                   23.87                      71        CLINICAL LAB
7111875   H PYLORI AB IGG                    8.60                      71        CLINICAL LAB
7102825   H PYLORI AB IGM                   23.87                      71        CLINICAL LAB
7140288   H PYLORI AB TOTAL                 31.00                      71        CLINICAL LAB
7114804   HANTAVIRUS AB                     41.25                      71        CLINICAL LAB
7102403   HAPTOGLOBIN QN                    10.00                      71        CLINICAL LAB
7140213   HAV AB IGM                        24.00                      71        CLINICAL LAB
7116791   HAV AB IGM                        14.87                      71        CLINICAL LAB
7102346   HAV AB IGM                        10.00                      71        CLINICAL LAB
7140205   HAV AB TOTAL                      27.00                      71        CLINICAL LAB
7116783   HAV AB TOTAL                       8.75                      71        CLINICAL LAB



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                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7102379   HAV AB TOTAL                       8.75                      71        CLINICAL LAB
7140239   HB CORE AB IGM                    25.00                      71        CLINICAL LAB
7102445   HB CORE AB IGM                    11.25                      71        CLINICAL LAB
7140221   HB CORE AB TOTAL                  26.00                      71        CLINICAL LAB
7108079   HB CORE AB TOTAL                  10.00                      71        CLINICAL LAB
7107121   HBE AB                            10.00                      71        CLINICAL LAB
7107139   HBE AG                            10.00                      71        CLINICAL LAB
7140247   HBS AB                            23.00                      71        CLINICAL LAB
7116718   HBS AB                            15.20                      71        CLINICAL LAB
7102486   HBS AB                             7.60                      71        CLINICAL LAB
7140254   HBS AG                            20.00                      71        CLINICAL LAB
7102494   HBS AG                             6.65                      71        CLINICAL LAB
7140668   HBS AG NEUTRALIZATION             22.00                      71        CLINICAL LAB
7140262   HCV AB                            30.00                      71        CLINICAL LAB
7102502   HCV AB                             9.74                      71        CLINICAL LAB
7102551   HCV AB CONF                       66.00                      71        CLINICAL LAB
7104847   HDL CHOLESTEROL                  123.00                      71        CLINICAL LAB
7102585   HDV (DELTA) AB                    25.00                      71        CLINICAL LAB
7102783   HEAVY METALS UR QN EA            120.50                      71        CLINICAL LAB
7117153   HEMATOCRIT                         1.60                      71        CLINICAL LAB
7106271   HEMATOCRIT                        34.00                      71        CLINICAL LAB
7106370   HEMATOCRIT SPUN                   34.00                      71        CLINICAL LAB
7106230   HEMATOCRIT SPUN                   34.00                      71        CLINICAL LAB
7117146   HEMOGLOBIN                         1.82                      71        CLINICAL LAB
7106297   HEMOGLOBIN                        34.00                      71        CLINICAL LAB
7117161   HEMOGLOBIN FRACTION QN            14.13                      71        CLINICAL LAB
7117005   HEMOGLOBIN FRACTION QN            20.35                      71        CLINICAL LAB
7107097   HEMOGLOBIN GLYCOSYLTD A1C          8.08                      71        CLINICAL LAB
7104466   HEMOGLOBIN GLYCOSYLTD A1C        142.00                      71        CLINICAL LAB
7104243   HEMOGLOBIN PLAS                   14.65                      71        CLINICAL LAB
7102361   HEMOLYSIN ACID (HAM'S)            42.50                      71        CLINICAL LAB
7102619   HEMOSIDERIN QL                    12.00                      71        CLINICAL LAB
7102387   HEP B VIRUS BDNA QN              104.98                      71        CLINICAL LAB
7117195   HEP C VIRAL RNA GENOTYPE         145.35                      71        CLINICAL LAB
7120306   HEP C VIRAL RNA QN TMA           200.00                      71        CLINICAL LAB
7117351   HEP C VIRUS AMP PRB              200.00                      71        CLINICAL LAB
7101710   HEP C VIRUS AMP PRB               98.50                      71        CLINICAL LAB
7102833   HEP C VIRUS BDNA QN               92.86                      71        CLINICAL LAB
7102569   HEP C VIRUS BDNA QN              112.00                      71        CLINICAL LAB
7117278   HEP C VIRUS PCR QN               209.95                      71        CLINICAL LAB
7117369   HEPARIN ASSAY                     76.50                      71        CLINICAL LAB



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                                     af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7110778   HEPATIC FUNCTION PNL            123.00                      71        CLINICAL LAB
7118276   HEPATITIS DELTA AGENT            38.80                      71        CLINICAL LAB
7102874   HISTAMINE                        66.50                      71        CLINICAL LAB
7102858   HISTOPLAS AB                     22.50                      71        CLINICAL LAB
7102700   HISTOPLAS AB                      9.00                      71        CLINICAL LAB
7118912   HIV 1 AB                        130.00                      71        CLINICAL LAB
7102718   HIV 1 AB                          8.75                      71        CLINICAL LAB
7120546   HIV 1 AMP PRB                   125.00                      71        CLINICAL LAB
7118797   HIV 1 GENOTYPE                  110.31                      71        CLINICAL LAB
7102726   HIV 1 QN BDNA                   105.00                      71        CLINICAL LAB
7102940   HIV 1 QN PCR                     84.15                      71        CLINICAL LAB
7120157   HIV 1 RNA VIRAL LOAD PCR         79.94                      71        CLINICAL LAB
7118789   HIV 1 RNA VIRAL LOAD PCR        110.32                      71        CLINICAL LAB
7140635   HIV 1/HIV 2 AB                   29.00                      71        CLINICAL LAB
7119142   HIV AB CONF WESTERN BLOT         23.00                      71        CLINICAL LAB
7112113   HIV AB CONF WESTERN BLOT         23.87                      71        CLINICAL LAB
7105364   HIV AB CONF WESTERN BLOT         22.73                      71        CLINICAL LAB
7102429   HLA B27                          25.00                      71        CLINICAL LAB
7140338   HOMOCYSTINE                      36.00                      71        CLINICAL LAB
7102577   HOMOCYSTINE                      20.19                      71        CLINICAL LAB
7108442   HOMOVANILLIC ACID (HVA)          59.52                      71        CLINICAL LAB
7102965   HOMOVANILLIC ACID (HVA)          22.00                      71        CLINICAL LAB
7112089   HPV AMP PRB                      15.80                      71        CLINICAL LAB
7108558   HPV AMP PRB                      15.81                      71        CLINICAL LAB
7116767   HSV 1 AB IGG                     15.00                      71        CLINICAL LAB
7102676   HSV 1 AB IGG                     14.25                      71        CLINICAL LAB
7116775   HSV 2 AB IGG                     15.00                      71        CLINICAL LAB
7112311   HSV 2 AB IGG                     14.25                      71        CLINICAL LAB
7113624   HSV AB IGM                       17.10                      71        CLINICAL LAB
7108681   HSV AMP PRB                     109.25                      71        CLINICAL LAB
7102668   HSV TYP 1 DFA                    13.80                      71        CLINICAL LAB
7102981   HYDROXYPROLINE FREE              48.30                      71        CLINICAL LAB
7102973   HYDROXYPROLINE TOTAL             50.98                      71        CLINICAL LAB
7103096   IGA                               8.00                      71        CLINICAL LAB
7103062   IGA CSF                          11.00                      71        CLINICAL LAB
7103021   IGD                              21.00                      71        CLINICAL LAB
7104953   IGE                               6.25                      71        CLINICAL LAB
7108525   IGFBP 3                          29.00                      71        CLINICAL LAB
7103112   IGG                               8.00                      71        CLINICAL LAB
7112360   IGG CSF                          11.00                      71        CLINICAL LAB
7103054   IGG SUBCLASSES                    8.93                      71        CLINICAL LAB



                                                     Page 55
                                    af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7103120   IGM                              8.00                      71        CLINICAL LAB
7112394   IGM CSF                         11.00                      71        CLINICAL LAB
7103138   IMIPRAMINE                      22.00                      71        CLINICAL LAB
7101140   IMMUNE COMPLEX CIQ BIND         16.25                      71        CLINICAL LAB
7118672   IMMUNOASSAY ANALYTE QN         120.00                      71        CLINICAL LAB
7113871   IMMUNOASSAY ANALYTE QN          58.00                      71        CLINICAL LAB
7118664   IMMUNOASSAY NONINFECT           11.00                      71        CLINICAL LAB
7117807   IMMUNOASSAY NONINFECT           13.00                      71        CLINICAL LAB
7111057   IMMUNOASSAY NONINFECT           20.00                      71        CLINICAL LAB
7107568   IMMUNOASSAY NONINFECT           14.25                      71        CLINICAL LAB
7118409   IMMUNOASSAY NOT SPEC            26.00                      71        CLINICAL LAB
7108590   IMMUNOASSAY NOT SPEC            14.25                      71        CLINICAL LAB
7108426   IMMUNOASSAY NOT SPEC            41.50                      71        CLINICAL LAB
7103807   IMMUNOASSAY NOT SPEC            11.87                      71        CLINICAL LAB
7103179   IMMUNOASSAY NOT SPEC            95.00                      71        CLINICAL LAB
7118417   IMMUNOASSAY TUM AG EA           29.00                      71        CLINICAL LAB
7117641   IMMUNOFIX SER                   35.20                      71        CLINICAL LAB
7114820   IMMUNOFIX SER                   38.95                      71        CLINICAL LAB
7117393   IMMUNOFIX UR                    30.25                      71        CLINICAL LAB
7108798   IMMUNOFIX UR                   115.50                      71        CLINICAL LAB
7103088   IMMUNOFIX UR                    30.25                      71        CLINICAL LAB
7114101   IMMUNOHISTOCHEMISTRY           125.00                      71        CLINICAL LAB
7106644   INDIA INK PREP CSF              61.00                      71        CLINICAL LAB
7102106   INFLUENZA A AB                  16.00                      71        CLINICAL LAB
7120264   INFLUENZA A DFA                 12.50                      71        CLINICAL LAB
7102114   INFLUENZA B AB                  16.00                      71        CLINICAL LAB
7112691   INFLUENZA B DFA                 12.50                      71        CLINICAL LAB
7117682   INHIBIN A                       50.00                      71        CLINICAL LAB
7108905   INSULIN                         19.00                      71        CLINICAL LAB
7103195   INSULIN                         10.50                      71        CLINICAL LAB
7117849   INSULIN ANTIBODIES              27.00                      71        CLINICAL LAB
7106388   INTERP BLD SMR                                             71        CLINICAL LAB
7108400   INTRINSIC FCTR AB               23.00                      71        CLINICAL LAB
7140379   IRON                            14.00                      71        CLINICAL LAB
7107287   IRON                             5.00                      71        CLINICAL LAB
7140403   IRON BINDING CAPACITY           19.00                      71        CLINICAL LAB
7102023   IRON BINDING CAPACITY            2.25                      71        CLINICAL LAB
7103229   ISLET CL AB                     25.00                      71        CLINICAL LAB
7111495   ISOENZYMES CPK                   9.75                      71        CLINICAL LAB
7119563   JO 1 AB                         31.00                      71        CLINICAL LAB
7120371   KAPPA CHAIN                     12.00                      71        CLINICAL LAB



                                                    Page 56
                                    af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7106859   KETONES QN                     123.00                      71        CLINICAL LAB
7100167   KETOSTEROIDS 17 TOTAL           30.98                      71        CLINICAL LAB
7106651   KOH PREP SKIN HAIR NAIL         61.00                      71        CLINICAL LAB
7107980   L/S RATIO                      155.00                      71        CLINICAL LAB
7107022   L/S RATIO                       31.00                      71        CLINICAL LAB
7119001   LACTIC ACID                    157.00                      71        CLINICAL LAB
7108004   LACTIC ACID                     15.00                      71        CLINICAL LAB
7120389   LAMBDA CHAIN                    12.00                      71        CLINICAL LAB
7103252   LAMOTRIGINE                     25.00                      71        CLINICAL LAB
7106867   LDH                             88.00                      71        CLINICAL LAB
7103286   LDH                              5.90                      71        CLINICAL LAB
7103815   LDH FLD                         88.00                      71        CLINICAL LAB
7112378   LDH ISOENZYMES                   8.85                      71        CLINICAL LAB
7117088   LDL BY DIRECT MEASURE           14.00                      71        CLINICAL LAB
7104169   LEAD BLD                         8.08                      71        CLINICAL LAB
7103294   LEAD UR                         10.00                      71        CLINICAL LAB
7103328   LEGIONELLA AB IGG               10.50                      71        CLINICAL LAB
7103302   LEGIONELLA AB IGM               35.00                      71        CLINICAL LAB
7107279   LEGIONELLA PNEUMO DFA           35.00                      71        CLINICAL LAB
7103336   LEPTOSPIRA AN                   32.00                      71        CLINICAL LAB
7103260   LEUCINE AMINOPEOTIDASE          32.00                      71        CLINICAL LAB
7114903   LEUK ALK PHOS                   15.00                      71        CLINICAL LAB
7140130   LH                              40.00                      71        CLINICAL LAB
7103344   LH                              15.00                      71        CLINICAL LAB
7103351   LIDOCAINE                       19.25                      71        CLINICAL LAB
7140601   LIPASE                          15.00                      71        CLINICAL LAB
7103369   LIPASE                           6.50                      71        CLINICAL LAB
7114150   LIPID PNL                       15.00                      71        CLINICAL LAB
7106891   LIPID PNL                      307.00               307.00 71        CLINICAL LAB
7118003   LITHIUM                          7.00                      71        CLINICAL LAB
7106875   LITHIUM                        100.00                      71        CLINICAL LAB
7120215   LORAZEPAM                       33.00                      71        CLINICAL LAB
7119597   LYME DISEASE AB                 17.50                      71        CLINICAL LAB
7110828   LYME DISEASE AB                 11.68                      71        CLINICAL LAB
7110851   LYME DISEASE AB IGG WB          25.00                      71        CLINICAL LAB
7114911   LYME DISEASE AB IGM WB          20.45                      71        CLINICAL LAB
7119456   M TB AMP PRB                    50.07                      71        CLINICAL LAB
7119118   M TB AMP PRB                    99.00                      71        CLINICAL LAB
7118193   MACRO EXAM ARTHROPOD            34.00                      71        CLINICAL LAB
7106727   MACRO EXAM PARASITE             61.00                      71        CLINICAL LAB
7120595   MAG AB                          49.00                      71        CLINICAL LAB



                                                    Page 57
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7103484   MAG AB                            46.02                      71        CLINICAL LAB
7106925   MAGNESIUM                        100.00                      71        CLINICAL LAB
7105950   MAGNESIUM UR                     100.00                      71        CLINICAL LAB
7105968   MAGNESIUM UR TIM                 100.00                      71        CLINICAL LAB
7105141   MAGNESIUM UR TIM                   6.72                      71        CLINICAL LAB
7118847   MAN CELL CT EA                    65.00                      71        CLINICAL LAB
7106412   MAN DIFF WBC BUFFY COAT           54.00                      71        CLINICAL LAB
7106180   MAN DIFF WBC BUFFY COAT           54.00                      71        CLINICAL LAB
7120017   MANGANESE SERUM                   40.00                      71        CLINICAL LAB
7119506   MASS SPECT/TANDEM QN NES          20.35                      71        CLINICAL LAB
7110158   MASS SPECT/TANDEM QN NES         142.50                      71        CLINICAL LAB
7120249   MERCURY                           43.52                      71        CLINICAL LAB
7103690   MERCURY                           10.00                      71        CLINICAL LAB
7103682   MERCURY                           18.00                      71        CLINICAL LAB
7100308   METANEPHRINES UR 24HR             28.00                      71        CLINICAL LAB
7118375   METHANOL BLD                      10.00                      71        CLINICAL LAB
7103724   METHOTREXATE                      25.00                      71        CLINICAL LAB
7103781   METHYLMALONIC ACID QN             31.49                      71        CLINICAL LAB
7140908   MICROALBUMIN UR 24HR              23.00                      71        CLINICAL LAB
7100290   MICROALBUMIN UR 24HR              10.00                      71        CLINICAL LAB
7140395   MICROALBUMIN UR RAN               12.00                      71        CLINICAL LAB
7117377   MICROALBUMIN UR RAN               10.00                      71        CLINICAL LAB
7119274   MICROSOMAL AB                     15.00                      71        CLINICAL LAB
7110125   MISC LAB PROC                    110.00                      71        CLINICAL LAB
7107055   MISC LAB PROC                                                71        CLINICAL LAB
7107048   MISC LAB PROC                                                71        CLINICAL LAB
7107030   MISC LAB PROC                                                71        CLINICAL LAB
7104854   MISC LAB PROC                                                71        CLINICAL LAB
7101090   MISC LAB PROC                                                71        CLINICAL LAB
7100134   MISC LAB PROC                                                71        CLINICAL LAB
7108285   MISC LAB PROC                                                71        CLINICAL LAB
7112840   MITOCHONDRIAL AB SCRN             11.00                      71        CLINICAL LAB
7115074   MOL DX AMP NA MLTIP EA SQ         19.20                      71        CLINICAL LAB
7113756   MOL DX AMP NA MLTIP EA SQ         15.50                      71        CLINICAL LAB
7113228   MOL DX AMP NA MLTIP EA SQ         17.81                      71        CLINICAL LAB
7112105   MOL DX AMP NA MLTIP EA SQ         42.39                      71        CLINICAL LAB
7120199   MOL DX AMP PT N ACD EA SQ         36.05                      71        CLINICAL LAB
7140759   MOL DX ENZ DIGESTION              50.00                      71        CLINICAL LAB
7114895   MOL DX ENZ DIGESTION              16.00                      71        CLINICAL LAB
7113251   MOL DX ENZ DIGESTION               9.50                      71        CLINICAL LAB
7113145   MOL DX ENZ DIGESTION              21.20                      71        CLINICAL LAB



                                                      Page 58
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7114861   MOL DX EXTRACTION HI PUR          12.80                      71        CLINICAL LAB
7113426   MOL DX EXTRACTION HI PUR           7.13                      71        CLINICAL LAB
7110141   MOL DX EXTRACTION HI PUR           7.75                      71        CLINICAL LAB
7108566   MOL DX EXTRACTION HI PUR          21.20                      71        CLINICAL LAB
7101975   MOL DX EXTRACTION HI PUR          11.51                      71        CLINICAL LAB
7101660   MOL DX EXTRACTION HI PUR          18.22                      71        CLINICAL LAB
7114929   MOL DX GEL ELECTRO SEP            16.00                      71        CLINICAL LAB
7113459   MOL DX GEL ELECTRO SEP            17.81                      71        CLINICAL LAB
7112337   MOL DX GEL ELECTRO SEP            35.33                      71        CLINICAL LAB
7112212   MOL DX GEL ELECTRO SEP            14.54                      71        CLINICAL LAB
7115108   MOL DX INTERP & RPT               32.00                      71        CLINICAL LAB
7113814   MOL DX INTERP & RPT               10.61                      71        CLINICAL LAB
7113434   MOL DX INTERP & RPT               14.24                      71        CLINICAL LAB
7113236   MOL DX INTERP & RPT               18.24                      71        CLINICAL LAB
7112253   MOL DX INTERP & RPT               21.19                      71        CLINICAL LAB
7111917   MOL DX INTERP & RPT               23.01                      71        CLINICAL LAB
7140742   MOL DX ISOLATE & EXTRACT          50.00                      71        CLINICAL LAB
7140767   MOL DX NUC ACID PRB               50.00                      71        CLINICAL LAB
7115041   MOL DX NUC ACID PRB               16.00                      71        CLINICAL LAB
7113517   MOL DX NUC ACID PRB               18.22                      71        CLINICAL LAB
7113483   MOL DX NUC ACID PRB               10.69                      71        CLINICAL LAB
7111826   MOL DX NUC ACID PRB                7.67                      71        CLINICAL LAB
7111214   MOL DX NUC ACID PRB                1.94                      71        CLINICAL LAB
7115017   MOL DX NUC ACID TRANSFER          16.00                      71        CLINICAL LAB
7120207   MOL DX REV TRANSCRIPT             36.03                      71        CLINICAL LAB
7120074   MOL NUCLEIC AMPLI 2 SEQ            8.95                      71        CLINICAL LAB
7105356   MONO TEST SCRN                    70.00                      71        CLINICAL LAB
7103880   MUMPS AB IGG                      12.00                      71        CLINICAL LAB
7103872   MUMPS AB IGM                      17.25                      71        CLINICAL LAB
7103476   MURAMIDASE                        18.00                      71        CLINICAL LAB
7103468   MURAMIDASE                        42.50                      71        CLINICAL LAB
7120090   MUTATION ID OLA/SBCE/ASPE          8.95                      71        CLINICAL LAB
7103930   MYCOPLAS AB IGG                   15.00                      71        CLINICAL LAB
7112972   MYCOPLAS AB IGM                   15.00                      71        CLINICAL LAB
7103864   MYCOPLAS CULT                     28.00                      71        CLINICAL LAB
7103609   MYELIN BASIC PROTEIN CSF          19.00                      71        CLINICAL LAB
7114242   MYELOPEROXIDASE AB                16.62                      71        CLINICAL LAB
7112873   MYOCARDIAL AB SCRN                20.00                      71        CLINICAL LAB
7103914   MYOGLOBIN                         26.50                      71        CLINICAL LAB
7103989   MYOGLOBIN UR                      15.00                      71        CLINICAL LAB
7120363   NATURAL KILLER CELLS              37.40                      71        CLINICAL LAB



                                                      Page 59
                                     af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7118474   NATURAL KILLER CELLS             25.00                      71        CLINICAL LAB
7116981   NB GENETIC SCR GALACT            20.35                      71        CLINICAL LAB
7100621   NEURONAL AB (HU AB) SCRN         59.40                      71        CLINICAL LAB
7120777   NEUTRALIZATION TEST              31.83                      71        CLINICAL LAB
7119738   NICOTINE & METABOLITE            70.20                      71        CLINICAL LAB
7103997   NOREPINEPHRINE                   59.94                      71        CLINICAL LAB
7104029   NORTRIPTYLINE                    16.40                      71        CLINICAL LAB
7104441   NTELOPEPTIDE UR                  33.00                      71        CLINICAL LAB
7120082   NUCLEIC ACID HI RESOLUTE          8.95                      71        CLINICAL LAB
7100092   OCCULT BLD QL FCS 1 SPC          50.00                      71        CLINICAL LAB
7107238   OLIGOCLONAL BANDS CSF            17.50                      71        CLINICAL LAB
7104052   OLIGOCLONAL BANDS CSF            17.50                      71        CLINICAL LAB
7119951   OPIATES                         204.85                      71        CLINICAL LAB
7119811   OPIATES                          35.55                      71        CLINICAL LAB
7119365   OPIATES CONF                     25.00                      71        CLINICAL LAB
7119803   OPIATES SCRN                      7.50                      71        CLINICAL LAB
7106016   OPIATES SCRN                     52.00                      71        CLINICAL LAB
7104060   ORGANIC ACIDS QN TOTAL          125.00                      71        CLINICAL LAB
7119662   OROTIC ACID URINE                95.87                      71        CLINICAL LAB
7105638   OSMOLALITY SER                  100.00                      71        CLINICAL LAB
7107246   OSMOLALITY UR                     9.75                      71        CLINICAL LAB
7106024   OSMOLALITY UR                    75.00                      71        CLINICAL LAB
7114937   OSTEOCALCIN                      30.00                      71        CLINICAL LAB
7110000   OVA & PARASITES W CONC           19.90                      71        CLINICAL LAB
7106701   OVA & PARASITES W CONC          130.00      90.00           71        CLINICAL LAB
7100316   OXALATE UR                        6.00                      71        CLINICAL LAB
7118755   OXYCARBAZEPINE                   46.15                      71        CLINICAL LAB
7104201   PARAINFLUENZA AB                 16.00                      71        CLINICAL LAB
7103419   PARAINFLUENZA DFA                23.40                      71        CLINICAL LAB
7112774   PARVOVIRUS B19 AB                15.00                      71        CLINICAL LAB
7100951   PARVOVIRUS B19 AB                15.00                      71        CLINICAL LAB
7107162   PH BLD                          126.00                      71        CLINICAL LAB
7105646   PHENOBARBITAL                   169.00                      71        CLINICAL LAB
7104938   PHENOTHIAZINE                    20.00                      71        CLINICAL LAB
7104540   PHENOTHIAZINE                    22.50                      71        CLINICAL LAB
7103716   PHENOTHIAZINE                    36.00                      71        CLINICAL LAB
7104235   PHENYLALANINE BLOOD              37.50                      71        CLINICAL LAB
7105695   PHENYTOIN TOTAL                 195.00                      71        CLINICAL LAB
7100480   PHOSHATASE ACID TOTAL            12.00                      71        CLINICAL LAB
7119902   PHOSPHOLIPID AB                  17.94                      71        CLINICAL LAB
7118615   PHOSPHOLIPID AB                  24.76                      71        CLINICAL LAB



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                                     af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7106032   PHOSPHOROUS UR RAN               77.00                      71        CLINICAL LAB
7105653   PHOSPHORUS (PO4)                 69.00                      71        CLINICAL LAB
7117872   PHOSPHORUS UR 24HR                6.70                      71        CLINICAL LAB
7106040   PHOSPHORUS UR TIM                77.00                      71        CLINICAL LAB
7106735   PINWORM CELLOPHANE TAPE          61.00                      71        CLINICAL LAB
7119746   PLT AB HEPARIN                   60.00                      71        CLINICAL LAB
7108988   PLT AB INDIRECT                  70.00                      71        CLINICAL LAB
7106313   PLT CNT AUTO                     65.00                      71        CLINICAL LAB
7102999   PNEUMOCYSTIS CARINII DFA         22.28                      71        CLINICAL LAB
7100324   PORPHOBILINOGEN QN               25.00                      71        CLINICAL LAB
7119209   PORPHYRINS TOTAL PLASMA          39.00                      71        CLINICAL LAB
7100233   PORPHYRINS UR QN&FX              21.50                      71        CLINICAL LAB
7106842   POTASSIUM                        69.00                      71        CLINICAL LAB
7103799   POTASSIUM FLD                    69.00                      71        CLINICAL LAB
7105935   POTASSIUM UR RAN                 65.00                      71        CLINICAL LAB
7105943   POTASSIUM UR TIM                 65.00                      71        CLINICAL LAB
7119696   PREALBUMIN                      215.00                      71        CLINICAL LAB
7119712   PREGNANCY SCRN UR                92.00                      71        CLINICAL LAB
7105679   PREGNANCY TEST SER QL           111.00                      71        CLINICAL LAB
7101843   PREGNENOLONE                     36.50                      71        CLINICAL LAB
7106495   PRENATAL PNL                    498.00                      71        CLINICAL LAB
7104300   PRIMIDONE                        15.00                      71        CLINICAL LAB
7105661   PROCAINAMIDE & NAPA             249.00                      71        CLINICAL LAB
7140148   PROGESTERONE                     45.00                      71        CLINICAL LAB
7104334   PROINSULIN                       40.00                      71        CLINICAL LAB
7140155   PROLACTIN                        41.00                      71        CLINICAL LAB
7104250   PROLACTIN                        10.00                      71        CLINICAL LAB
7100753   PROTEIMASE 3                     16.62                      71        CLINICAL LAB
7117898   PROTEIN C ACTIVATED              45.00                      71        CLINICAL LAB
7104342   PROTEIN C ACTIVITY               33.25                      71        CLINICAL LAB
7104185   PROTEIN ELECTRO CSF              25.00                      71        CLINICAL LAB
7117617   PROTEIN ELECTRO SER               8.00                      71        CLINICAL LAB
7104359   PROTEIN ELECTRO SER              25.50                      71        CLINICAL LAB
7103153   PROTEIN ELECTRO SER              12.25                      71        CLINICAL LAB
7105158   PROTEIN ELECTRO UR               20.15                      71        CLINICAL LAB
7118086   PROTEIN NEPHELOMET               17.00                      71        CLINICAL LAB
7117633   PROTEIN NEPHELOMET                5.00                      71        CLINICAL LAB
7113574   PROTEIN NEPHELOMET               12.00                      71        CLINICAL LAB
7100415   PROTEIN NEPHELOMET               29.00                      71        CLINICAL LAB
7104375   PROTEIN S ACTIVITY               35.00                      71        CLINICAL LAB
7108475   PROTEIN S AG TOTAL               35.00                      71        CLINICAL LAB



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7117625   PROTEIN TOTAL BLOOD               2.00                      71        CLINICAL LAB
7105745   PROTEIN TOTAL BLOOD              54.00                      71        CLINICAL LAB
7103583   PROTEIN TOTAL CSF                54.00                      71        CLINICAL LAB
7114010   PROTEIN TOTAL FLD                11.00                      71        CLINICAL LAB
7103856   PROTEIN TOTAL FLD                54.00                      71        CLINICAL LAB
7119308   PROTEIN UR QN 24 HR               4.25                      71        CLINICAL LAB
7113632   PROTEIN UR QN RAN                 4.25                      71        CLINICAL LAB
7106073   PROTEIN UR QN RAN                54.00                      71        CLINICAL LAB
7106081   PROTEIN UR QN TIM                54.00                      71        CLINICAL LAB
7113004   PROTEIN WESTERN BLOT             39.60                      71        CLINICAL LAB
7106461   PROTHROMBIN TIME                 57.00                      71        CLINICAL LAB
7105422   PROTOPORPHYRIN RBC               15.65                      71        CLINICAL LAB
7140775   PSA FREE                         17.00                      71        CLINICAL LAB
7105026   PSA FREE                         10.09                      71        CLINICAL LAB
7140783   PSA TOTAL                        39.00                      71        CLINICAL LAB
7113269   PSA TOTAL DIAG                   10.10                      71        CLINICAL LAB
7108277   PSA TOTAL DIAG                   13.30                      71        CLINICAL LAB
7105687   PSA TOTAL DIAG                  272.00                      71        CLINICAL LAB
7118946   PSA TOTAL SCRN                  272.00                      71        CLINICAL LAB
7104391   PTH C TERMINAL                   34.00                      71        CLINICAL LAB
7118524   PTH INTACT                       92.50                      71        CLINICAL LAB
7103203   PTH INTACT                        9.25                      71        CLINICAL LAB
7110372   PTH RELATED PROTEIN              55.00                      71        CLINICAL LAB
7112402   PTT PLAS OR WB                   13.30                      71        CLINICAL LAB
7106479   PTT PLAS OR WB                   88.00                      71        CLINICAL LAB
7104417   PYRUVATE BLD                     15.00                      71        CLINICAL LAB
7104433   Q FEVER AB                        7.50                      71        CLINICAL LAB
7118565   QN DRG MISC                      32.62                      71        CLINICAL LAB
7118359   QN DRG MISC                      80.00                      71        CLINICAL LAB
7118185   QN DRUG MISC                     59.00                      71        CLINICAL LAB
7107931   QUINIDINE                        13.75                      71        CLINICAL LAB
7105703   QUINIDINE                       215.00                      71        CLINICAL LAB
7114135   RECEPT ASSAY ESTROGEN            49.50                      71        CLINICAL LAB
7114168   RECEPT ASSAY PROGEST             49.50                      71        CLINICAL LAB
7118557   RECEPT ASSAY TBII                44.00                      71        CLINICAL LAB
7100100   REDUCING SUBSTANCE FECAL         46.00                      71        CLINICAL LAB
7107204   RENAL FUNCTION PNL              130.00                      71        CLINICAL LAB
7118698   RENIN                            18.00                      71        CLINICAL LAB
7104474   RENIN                            95.00                      71        CLINICAL LAB
7100886   RETICULIN AB TTR                 13.20                      71        CLINICAL LAB
7106339   RETICULOCYTE MAN                 65.00                      71        CLINICAL LAB



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7105372   RHEUMATOID FCTR QL               84.00                      71        CLINICAL LAB
7140676   RHEUMATOID FCTR QN               12.00                      71        CLINICAL LAB
7118250   RHEUMATOID FCTR QN               10.27                      71        CLINICAL LAB
7104482   RHEUMATOID FCTR QN                7.50                      71        CLINICAL LAB
7105208   RIBOFLAVIN                       55.00                      71        CLINICAL LAB
7112717   RIBOSOMAL P AB                   33.00                      71        CLINICAL LAB
7104490   RMSF AB SCRN IGG                 13.50                      71        CLINICAL LAB
7113186   RMSF AB SCRN IGM                  6.90                      71        CLINICAL LAB
7104516   ROTAVIRUS AG EIA                 20.00                      71        CLINICAL LAB
7140650   RPR QL                            9.00                      71        CLINICAL LAB
7110679   RPR QL                            9.00                      71        CLINICAL LAB
7140809   RPR TTR                           6.00                      71        CLINICAL LAB
7117039   RSV AG EIA                      176.00                      71        CLINICAL LAB
7104722   RSV DFA                          24.00                      71        CLINICAL LAB
7140304   RUBELLA AB                       31.00                      71        CLINICAL LAB
7104862   RUBELLA AB IGG                    8.50                      71        CLINICAL LAB
7110638   RUBELLA AB IGM                    8.50                      71        CLINICAL LAB
7104573   RUBEOLA AB IGG                    8.08                      71        CLINICAL LAB
7104557   RUBEOLA AB IGM                    8.08                      71        CLINICAL LAB
7118573   RUSSELL VIPER VENOM DILU         15.00                      71        CLINICAL LAB
7107147   RUSSELL VIPER VENOM DILU         13.30                      71        CLINICAL LAB
7105711   SALICYLATE                      103.00                      71        CLINICAL LAB
7104599   SCLERODERMA AB                   18.00                      71        CLINICAL LAB
7106206   SEDIMENTATION RATE MAN           54.00                      71        CLINICAL LAB
7117930   SELENIUM                         25.50                      71        CLINICAL LAB
7106347   SEMEN ANALYSIS COMPLETE         180.00                      71        CLINICAL LAB
7106396   SEMEN PRESENCE/MOT POST         130.00                      71        CLINICAL LAB
7108889   SEROTONIN BLD                    50.00                      71        CLINICAL LAB
7104607   SEROTONIN BLD                    49.00                      71        CLINICAL LAB
7117450   SEX HORMONE BIND GLOB            21.00                      71        CLINICAL LAB
7103278   SIALIC ACID                      18.50                      71        CLINICAL LAB
7104615   SICKLE CL SCRN                    9.75                      71        CLINICAL LAB
7117096   SIROLIMUS                        55.00                      71        CLINICAL LAB
7104680   SJOGRENS AB                      11.50                      71        CLINICAL LAB
7119555   SMITH AB                         18.00                      71        CLINICAL LAB
7118656   SMITH AB                         11.00                      71        CLINICAL LAB
7112782   SMOOTH MUSCLE AB SCRN            13.00                      71        CLINICAL LAB
7112824   SMR AFB STAIN                     5.58                      71        CLINICAL LAB
7106636   SMR GRAM STAIN                   61.00                      71        CLINICAL LAB
7117724   SMR INCL BODIES PARASITE         15.20                      71        CLINICAL LAB
7113020   SMR INCL BODIES PARASITE         19.70                      71        CLINICAL LAB



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7101462   SMR INCL BODIES PARASITE         149.00                      71        CLINICAL LAB
7103500   SMR MALARIA                       37.50                      71        CLINICAL LAB
7100068   SMR WET MOUNT                     61.00                      71        CLINICAL LAB
7107014   SODIUM                            73.00                      71        CLINICAL LAB
7105612   SODIUM                            73.00                      71        CLINICAL LAB
7119381   SODIUM OTHER SOURCE                8.00                      71        CLINICAL LAB
7105992   SODIUM UR RAN                     73.00                      71        CLINICAL LAB
7106008   SODIUM UR TIM                     73.00                      71        CLINICAL LAB
7103039   SOMATOMEDIN C                     25.00                      71        CLINICAL LAB
7113137   SPEC CONCENTRATION                18.23                      71        CLINICAL LAB
7112790   SPEC CONCENTRATION                 2.79                      71        CLINICAL LAB
7103823   SPEC CONCENTRATION                14.80                      71        CLINICAL LAB
7106263   SPEC GRAVITY FLD                  38.00                      71        CLINICAL LAB
7106511   SPEC HANDL PATRNTY                80.50                      71        CLINICAL LAB
7106487   SPEC HANDL UR DRG SCRN            54.00                      71        CLINICAL LAB
7105547   SPECIFIC GRAVITY UR               38.00                      71        CLINICAL LAB
7114960   SPECTROPHOTOMETRY                 15.00                      71        CLINICAL LAB
7106545   STL FOR WBC'S                     61.00                      71        CLINICAL LAB
7120538   STREP PNEUM AB 1 SEROTYPE         18.00                      71        CLINICAL LAB
7104623   STRIATED MUSCLE AB SCRN           17.00                      71        CLINICAL LAB
7108863   SUGARS QL EA SPEC                 80.00                      71        CLINICAL LAB
7106941   SUSCEPT BY MIC                   126.00                      71        CLINICAL LAB
7116650   T LYMPH CD4 (HELPER) CNT          29.45                      71        CLINICAL LAB
7116684   T LYMPH CD4/8 CNT&RATIO           25.00                      71        CLINICAL LAB
7116528   T LYMPH CD4/8 CNT&RATIO           61.75                      71        CLINICAL LAB
7112964   T LYMPH CD4/8 CNT&RATIO           13.70                      71        CLINICAL LAB
7108095   T LYMPH CD4/8 CNT&RATIO           24.75                      71        CLINICAL LAB
7120140   T LYMPH TOT CNT                   24.50                      71        CLINICAL LAB
7118508   T LYMPH TOT CNT                   13.70                      71        CLINICAL LAB
7118482   T LYMPH TOT CNT                   24.75                      71        CLINICAL LAB
7118458   T LYMPH TOT CNT                   25.00                      71        CLINICAL LAB
7140718   T3 FREE                           25.00                      71        CLINICAL LAB
7104730   T3 FREE                           11.00                      71        CLINICAL LAB
7102189   T3 FREE                           18.26                      71        CLINICAL LAB
7104755   T3 REVERSE                        29.00                      71        CLINICAL LAB
7140163   T3 TOTAL                          30.00                      71        CLINICAL LAB
7104748   T3 TOTAL                          10.00                      71        CLINICAL LAB
7111594   T3 UPTAKE                          8.00                      71        CLINICAL LAB
7140171   TACROLIMUS (FK506)                29.00                      71        CLINICAL LAB
7104797   TACROLIMUS (FK506)                49.88                      71        CLINICAL LAB
7113467   TESTOSTERONE FREE                  8.74                      71        CLINICAL LAB



                                                      Page 64
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7140189   TESTOSTERONE TOTAL              55.00                      71        CLINICAL LAB
7104896   TESTOSTERONE TOTAL              13.06                      71        CLINICAL LAB
7104912   TETANUS AB                      20.00                      71        CLINICAL LAB
7105737   THEOPHYLLINE                   211.00                      71        CLINICAL LAB
7104813   THYR BINDING GLOB (TBG)         18.25                      71        CLINICAL LAB
7105083   THYR STIM IG                    71.25                      71        CLINICAL LAB
7104946   THYROGLOBULIN                    9.88                      71        CLINICAL LAB
7140700   THYROGLOBULIN AB                24.00                      71        CLINICAL LAB
7113491   THYROGLOBULIN AB                 9.87                      71        CLINICAL LAB
7111081   THYROGLOBULIN AB                 7.45                      71        CLINICAL LAB
7100613   THYROGLOBULIN AB                 7.68                      71        CLINICAL LAB
7140692   THYROID PEROXIDASE AB           24.00                      71        CLINICAL LAB
7100894   THYROID PEROXIDASE AB            9.11                      71        CLINICAL LAB
7100811   THYROID PEROXIDASE AB            8.88                      71        CLINICAL LAB
7104789   THYROXINE (T4)                   6.50                      71        CLINICAL LAB
7102221   THYROXINE (T4)                   6.16                      71        CLINICAL LAB
7101314   TISSUE CULT LYMPH              111.44                      71        CLINICAL LAB
7102411   TOBRAMYCIN                      16.00                      71        CLINICAL LAB
7116841   TOPIRAMATE                      35.00                      71        CLINICAL LAB
7140197   TOXOPLAS AB IGG                 31.00                      71        CLINICAL LAB
7116759   TOXOPLAS AB IGG                  8.75                      71        CLINICAL LAB
7140429   TOXOPLAS AB IGM                 31.00                      71        CLINICAL LAB
7113533   TOXOPLAS AB IGM                  8.75                      71        CLINICAL LAB
7140056   TRANSFERRIN                     27.00                      71        CLINICAL LAB
7105067   TRANSFERRIN                     11.00                      71        CLINICAL LAB
7105752   TRIGLYCERIDE                    84.00                      71        CLINICAL LAB
7103898   TRIGLYCERIDE BDY FLD            84.00                      71        CLINICAL LAB
7108269   TROPONIN I QN                  146.00                      71        CLINICAL LAB
7105075   TROPONIN I QN                   16.75                      71        CLINICAL LAB
7120694   TRYPTASE                        49.00                      71        CLINICAL LAB
7116999   TSH                             20.35                      71        CLINICAL LAB
7105760   TSH                            249.00                      71        CLINICAL LAB
7100399   TSH                             11.88                      71        CLINICAL LAB
7104508   TYPHUS FEVER AB SC IGG          13.50                      71        CLINICAL LAB
7113277   TYPHUS FEVER AB SC IGM           6.90                      71        CLINICAL LAB
7105109   TYROSINE                        37.50                      71        CLINICAL LAB
7106115   UR NITROGEN UR RAN              69.00                      71        CLINICAL LAB
7106123   UR NITROGEN UR TIMED            69.00                      71        CLINICAL LAB
7116957   UREA CLEARANCE                 100.00                      71        CLINICAL LAB
7106057   URIC ACID                       65.00                      71        CLINICAL LAB
7118979   URIC ACID FLD                   69.00                      71        CLINICAL LAB



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                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7106099   URIC ACID UR RAN                  69.00                      71        CLINICAL LAB
7106107   URIC ACID UR TIM                  69.00                      71        CLINICAL LAB
7105489   URNALYSIS AUTO W/ MICRO           46.00                      71        CLINICAL LAB
7105505   URNALYSIS AUTO W/O MICRO          34.00                      71        CLINICAL LAB
7117203   VALPROIC ACID                     10.50                      71        CLINICAL LAB
7106131   VALPROIC ACID                    199.00                      71        CLINICAL LAB
7107907   VANCOMYCIN                       166.00                      71        CLINICAL LAB
7107873   VANCOMYCIN PK                    166.00                      71        CLINICAL LAB
7107899   VANCOMYCIN TR                    166.00                      71        CLINICAL LAB
7105232   VASOACT INTEST PEPT (VIP)         49.00                      71        CLINICAL LAB
7105224   VDRL CSF QL                        6.00                      71        CLINICAL LAB
7100126   VENIPUNCTURE                      31.00                      71        CLINICAL LAB
7120058   VIRUS AB NOT SPEC                 15.00                      71        CLINICAL LAB
7118342   VIRUS AB NOT SPEC                 23.86                      71        CLINICAL LAB
7118334   VIRUS AB NOT SPEC                 25.00                      71        CLINICAL LAB
7107949   VIRUS AB NOT SPEC                 37.50                      71        CLINICAL LAB
7119993   VIRUS CULT SHELL VIAL             65.00                      71        CLINICAL LAB
7111552   VIRUS CULT SHELL VIAL             25.00                      71        CLINICAL LAB
7105257   VISCOSITY                         15.00                      71        CLINICAL LAB
7105265   VITAMIN A                         15.77                      71        CLINICAL LAB
7118391   VITAMIN B1 (THIAMINE)             25.00                      71        CLINICAL LAB
7105190   VITAMIN B1 (THIAMINE)             38.00                      71        CLINICAL LAB
7140353   VITAMIN B12                       32.00                      71        CLINICAL LAB
7105182   VITAMIN B12                        5.40                      71        CLINICAL LAB
7100936   VITAMIN B12 BINDING CAP           15.00                      71        CLINICAL LAB
7105216   VITAMIN B6                        28.00                      71        CLINICAL LAB
7100381   VITAMIN D (125 DI HYDROX)         35.00                      71        CLINICAL LAB
7100365   VITAMIN D 25HYDROXY               20.19                      71        CLINICAL LAB
7105281   VITAMIN E                         15.75                      71        CLINICAL LAB
7105299   VITAMIN K                         60.00                      71        CLINICAL LAB
7108434   VMA UR                             9.00                      71        CLINICAL LAB
7100357   VMA UR                             7.75                      71        CLINICAL LAB
7140320   VZV AB                            28.00                      71        CLINICAL LAB
7105315   VZV AB IGG                        11.88                      71        CLINICAL LAB
7105331   VZV AB IGM                        12.50                      71        CLINICAL LAB
7105349   VZV DFA                           23.00                      71        CLINICAL LAB
7116635   WBC CNT AUTO                      16.60                      71        CLINICAL LAB
7106404   WBC CNT AUTO                      38.00                      71        CLINICAL LAB
7118045   WEST NILE CSF                     28.00                      71        CLINICAL LAB
7117997   WEST NILE SEROLOGY                24.50                      71        CLINICAL LAB
7120041   WEST NILE VIRUS RNA PCR          292.50                      71        CLINICAL LAB



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7105414   ZINC                              12.00                      71        CLINICAL LAB
7105406   ZINC                              13.00                      71        CLINICAL LAB
7120645   ZONISAMIDE (ZONEGRAN[TM])         49.50                      71        CLINICAL LAB
6900005   EEG AWAKE AND ASLEEP             559.00                      69        EEG
7000003   EKG 12 LEAD TRACING              244.00                      70        EKG
7000045   LEVEL 4 EST PATIENT              267.00                      70        EKG
7000029   LEVEL 4 NEW PATIENT              267.00                      70        EKG
8406886   ADMIN IMMUN EA ADD VACC           74.50                      84        EMERGENCY DEPARTMENT
8406878   ADMIN IMMUN SGL VACC              71.42                      84        EMERGENCY DEPARTMENT
8407033   AEROSOL TX DEMO/EVAL             238.26                      84        EMERGENCY DEPARTMENT
8407058   AEROSOL TX SUBSQ                  71.00                      84        EMERGENCY DEPARTMENT
8407041   ARTERIAL PUNCTURE                 22.00                      84        EMERGENCY DEPARTMENT
8406845   BLOOD TRANSFUSN 2-4 HR          1280.00                      84        EMERGENCY DEPARTMENT
8406852   BLOOD TRANSFUSN 4-6 HR          2012.00                      84        EMERGENCY DEPARTMENT
8406860   BLOOD TRANSFUSN GT 6HR          2475.00                      84        EMERGENCY DEPARTMENT
8406837   BLOOD TRANSFUSN LT 2 HR          732.00                      84        EMERGENCY DEPARTMENT
8400103   CPR                              444.00                      84        EMERGENCY DEPARTMENT
8406969   CS SAME MD ADD 15M               173.00                      84        EMERGENCY DEPARTMENT
8406951   CS SAME MD GT5YR 0-30M           345.00                      84        EMERGENCY DEPARTMENT
8406944   CS SAME MD LT5YR 0-30M           345.00                      84        EMERGENCY DEPARTMENT
8400996   ED CC 1ST 30-74 MN              3247.00                      84        EMERGENCY DEPARTMENT
8400962   ED CC EA ADD 30 MN              1078.00                      84        EMERGENCY DEPARTMENT
8400905   ED LEVEL 1                       572.00                      84        EMERGENCY DEPARTMENT
8400913   ED LEVEL 2                       882.00                      84        EMERGENCY DEPARTMENT
8400921   ED LEVEL 3                      1469.00                      84        EMERGENCY DEPARTMENT
8400939   ED LEVEL 4                      2250.00                      84        EMERGENCY DEPARTMENT
8400947   ED LEVEL 5                      2696.00                      84        EMERGENCY DEPARTMENT
8400988   ED PROC MAJOR                   1270.00                      84        EMERGENCY DEPARTMENT
8400970   ED PROC MINOR                    528.00                      84        EMERGENCY DEPARTMENT
8406738   GASTRIC LAVAGE                   773.00                      84        EMERGENCY DEPARTMENT
8406704   GLUCOSE FINGERSTICK               22.99                      84        EMERGENCY DEPARTMENT
8400012   GLUCOSE FINGERSTICK               38.00                      84        EMERGENCY DEPARTMENT
8406894   HYDRATION INFSN 0-60MN           420.91                      84        EMERGENCY DEPARTMENT
8406902   HYDRATN INFSN EA ADD HR          293.92                      84        EMERGENCY DEPARTMENT
8406936   INFSN W/MED ADD SQ 0-60MN        420.91                      84        EMERGENCY DEPARTMENT
8406985   INFSN W/MED CONCURRENT           420.91                      84        EMERGENCY DEPARTMENT
8406928   INFSN W/MED EA ADD HR            293.92                      84        EMERGENCY DEPARTMENT
8406910   INFUSION W/MED 0-60MN            420.91                      84        EMERGENCY DEPARTMENT
8406977   INJ IVP ADDL SEQ NEW DRG         147.75                      84        EMERGENCY DEPARTMENT
8406779   INJ IVP SNGL/INIT DRG            147.75                      84        EMERGENCY DEPARTMENT
8406787   INJECTION IM/SQ EA               185.42                      84        EMERGENCY DEPARTMENT



                                                      Page 67
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


8406811   IPECAC ADMINISTRATION            124.22                      84        EMERGENCY DEPARTMENT
8406720   OCCLT BLD STL QL MULT SPC         33.21                      84        EMERGENCY DEPARTMENT
8403768   PULSE OXIMETRY - MULTIPLE        277.00                      84        EMERGENCY DEPARTMENT
8400343   PULSE OXIMETRY - SINGLE          107.00                      84        EMERGENCY DEPARTMENT
8400871   SART EXAM                        483.00                      84        EMERGENCY DEPARTMENT
8406712   SKIN TEST TB                      63.88                      84        EMERGENCY DEPARTMENT
8407025   STATISTICAL TRACKING                                         84        EMERGENCY DEPARTMENT
8407017   STATISTICAL TRACKING                                         84        EMERGENCY DEPARTMENT
8406993   STATISTICAL TRACKING                                         84        EMERGENCY DEPARTMENT
8406829   STATISTICAL TRACKING                                         84        EMERGENCY DEPARTMENT
8406795   TEMP TRANSCUTANEOUS PACE         427.04                      84        EMERGENCY DEPARTMENT
8406753   THROMBOLYSIS CORO IV            2818.00                      84        EMERGENCY DEPARTMENT
8406761   VENIPUNCTURE                      22.00                      84        EMERGENCY DEPARTMENT
8406803   VENT MNGMNT INITIAL DAY         1666.22                      84        EMERGENCY DEPARTMENT
4100053   OBS BLADDER IRRIG SMPL                                       41        ICU OBSV PROCEDURES & OBS
4100749   OBS BLOOD TRANSFSN 2-4 HR                                    41        ICU OBSV PROCEDURES & OBS
4100756   OBS BLOOD TRANSFSN 4-6 HR                                    41        ICU OBSV PROCEDURES & OBS
4100764   OBS BLOOD TRANSFSN GT 6HR                                    41        ICU OBSV PROCEDURES & OBS
4100772   OBS BLOOD TRANSFSN LT 2HR                                    41        ICU OBSV PROCEDURES & OBS
4100103   OBS CPR                                                      41        ICU OBSV PROCEDURES & OBS
4100780   OBS DECLOT VASC DEVICE                                       41        ICU OBSV PROCEDURES & OBS
4100830   OBS HYDRAT INF EA ADD HR                                     41        ICU OBSV PROCEDURES & OBS
4100822   OBS HYDRATN INFSN 0-60MN                                     41        ICU OBSV PROCEDURES & OBS
4100871   OBS IJ IVP ADL SQ NEW DRG                                    41        ICU OBSV PROCEDURES & OBS
4100855   OBS INF W/MED ADDSQ 0-60M                                    41        ICU OBSV PROCEDURES & OBS
4100798   OBS INF W/MED EA ADD HR                                      41        ICU OBSV PROCEDURES & OBS
4100848   OBS INFUSION W/MED 0-60MN                                    41        ICU OBSV PROCEDURES & OBS
4100863   OBS INJ INV SNGL/INIT DRG                                    41        ICU OBSV PROCEDURES & OBS
4100806   OBS INJECTION IM/SQ EA                                       41        ICU OBSV PROCEDURES & OBS
4100129   OBS INS NON-TUN CV CATH5+                                    41        ICU OBSV PROCEDURES & OBS
4100889   OBS INSERT CATH TMP SMPL                                     41        ICU OBSV PROCEDURES & OBS
4100814   OBS INSRT BLADDER CATH                                       41        ICU OBSV PROCEDURES & OBS
4100244   OBS PLACE NEEDLE IN VEIN                                     41        ICU OBSV PROCEDURES & OBS
4100327   OBSERVATION PER HOUR             105.00                      41        ICU OBSV PROCEDURES & OBS
4100723   OBSERVATION PER HOUR             156.25                      41        ICU OBSV PROCEDURES & OBS
7300239   AB ID                            132.00                      73        LAB BLOOD BANK
7300262   AB SCRN                          176.00                      73        LAB BLOOD BANK
7300049   AB SCRN                          176.00                      73        LAB BLOOD BANK
7300130   ABO TYP                           46.00                      73        LAB BLOOD BANK
7300072   ABO TYP                           46.00                      73        LAB BLOOD BANK
7300163   COMPATIBILITY TEST IS            264.00                      73        LAB BLOOD BANK



                                                      Page 68
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


7300155   COMPATIBILITY TEST IS            264.00                      73        LAB BLOOD BANK
7300254   COOMBS DIRECT IG                  80.00                      73        LAB BLOOD BANK
7300247   COOMBS DIRECT IG                  80.00                      73        LAB BLOOD BANK
7300270   FFP PS                           207.00                      73        LAB BLOOD BANK
7300122   FFP PS                            74.00                      73        LAB BLOOD BANK
7300064   IG RHO D FULL 300MCG IJ          215.00                      73        LAB BLOOD BANK
7300411   IRRADIATION BLD PROD EA          235.00                      73        LAB BLOOD BANK
7300015   MISC LAB PROC                                                73        LAB BLOOD BANK
7300312   PHER L/D PS                      687.00                      73        LAB BLOOD BANK
7300338   PLTC PS                           63.00                      73        LAB BLOOD BANK
7300296   RBC L/D IRRADIATED PS            150.00                      73        LAB BLOOD BANK
7300080   RBC L/D PS                       221.00                      73        LAB BLOOD BANK
7300114   RBC PS                           207.00                      73        LAB BLOOD BANK
7300106   RH TYP                            88.00                      73        LAB BLOOD BANK
7300031   SPEC HANDL COURIER                                           73        LAB BLOOD BANK
7300304   THAWING PROD PER UNIT             48.00                      73        LAB BLOOD BANK
4000121   CIRCUMCISION                      72.00                      40        LABOR AND DELIVERY
4000139   CPR                               60.00                      40        LABOR AND DELIVERY
4000782   DELIVERY VAGINAL LEVEL 1        1024.00                      40        LABOR AND DELIVERY
4000774   DELIVERY VAGINAL LEVEL 2        1170.00                      40        LABOR AND DELIVERY
4011136   FETAL MON INTERN W/REPORT        123.00                      40        LABOR AND DELIVERY
4000816   FETAL MON INTERN W/REPORT        123.00                      40        LABOR AND DELIVERY
4000014   GLUCOSE FINGERSTICK                5.00                      40        LABOR AND DELIVERY
4000980   HYDRATION INFSN 0-60MN            94.00                      40        LABOR AND DELIVERY
4001004   HYDRATN INFSN EA ADD HR           66.00                      40        LABOR AND DELIVERY
4001012   INFSN W/MED EA ADD HR             66.00                      40        LABOR AND DELIVERY
4000998   INFUSION W/MED 0-60MN             94.00                      40        LABOR AND DELIVERY
4000824   INJ IVP SNGL/INIT DRG             33.00                      40        LABOR AND DELIVERY
4000576   INJECTION IM/SQ EA                41.00                      40        LABOR AND DELIVERY
4000766   LABOR LEVEL 1 / HR-IP            136.00                      40        LABOR AND DELIVERY
4000758   LABOR LEVEL 2 / HR-IP            170.00                      40        LABOR AND DELIVERY
4000881   LEVEL 1 EST PATIENT              112.00                      40        LABOR AND DELIVERY
4000832   LEVEL 1 NEW PATIENT              112.00                      40        LABOR AND DELIVERY
4000899   LEVEL 2 EST PATIENT              143.00                      40        LABOR AND DELIVERY
4000840   LEVEL 2 NEW PATIENT              143.00                      40        LABOR AND DELIVERY
4000907   LEVEL 3 EST PATIENT              150.00                      40        LABOR AND DELIVERY
4000857   LEVEL 3 NEW PATIENT              150.00                      40        LABOR AND DELIVERY
4000915   LEVEL 4 EST PATIENT              199.00                      40        LABOR AND DELIVERY
4000865   LEVEL 4 NEW PATIENT              199.00                      40        LABOR AND DELIVERY
4000923   LEVEL 5 EST PATIENT              261.00                      40        LABOR AND DELIVERY
4000873   LEVEL 5 NEW PATIENT              260.00                      40        LABOR AND DELIVERY



                                                      Page 69
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4011128   NST (NON-STRESS TEST)            104.00                      40        LABOR AND DELIVERY
4000808   NST (NON-STRESS TEST)            104.00                      40        LABOR AND DELIVERY
4000949   OB REGIONAL ANESTHESIA           217.00                      40        LABOR AND DELIVERY
4000642   OBSERVATION PER HOUR              64.50                      40        LABOR AND DELIVERY
4200069   OBS BLADDER IRRIG SMPL                                       42        MCU OBSV PROCEDURES & OBS
4201018   OBS BLOOD TRANSFSN 2-4 HR                                    42        MCU OBSV PROCEDURES & OBS
4201026   OBS BLOOD TRANSFSN 4-6 HR                                    42        MCU OBSV PROCEDURES & OBS
4201034   OBS BLOOD TRANSFSN GT 6HR                                    42        MCU OBSV PROCEDURES & OBS
4201042   OBS BLOOD TRANSFSN LT 2HR                                    42        MCU OBSV PROCEDURES & OBS
4200135   OBS CPR                                                      42        MCU OBSV PROCEDURES & OBS
4201059   OBS DECLOT VASC DEVICE                                       42        MCU OBSV PROCEDURES & OBS
4201109   OBS HYDRAT INF EA ADD HR                                     42        MCU OBSV PROCEDURES & OBS
4201091   OBS HYDRATN INFSN 0-6-MN                                     42        MCU OBSV PROCEDURES & OBS
4201141   OBS IJ IVP ADL SQ NEW DRG                                    42        MCU OBSV PROCEDURES & OBS
4201125   OBS INF W/MED ADDSQ 0-60M                                    42        MCU OBSV PROCEDURES & OBS
4201067   OBS INF W/MED EA ADD HR                                      42        MCU OBSV PROCEDURES & OBS
4201117   OBS INFUSION W/MED 0-60MN                                    42        MCU OBSV PROCEDURES & OBS
4201133   OBS INJ INV SNGL/INIT DRG                                    42        MCU OBSV PROCEDURES & OBS
4201075   OBS INJECTION IM/SQ EA                                       42        MCU OBSV PROCEDURES & OBS
4200093   OBS INS NON-TUN CV CATH5+                                    42        MCU OBSV PROCEDURES & OBS
4201158   OBS INSERT CATH TMP SMPL                                     42        MCU OBSV PROCEDURES & OBS
4201083   OBS INSRT BLADDER CATH                                       42        MCU OBSV PROCEDURES & OBS
4200333   OBS PLACE NEEDLE IN VEIN                                     42        MCU OBSV PROCEDURES & OBS
4200440   OBSERVATION PER HOUR              84.00                      42        MCU OBSV PROCEDURES & OBS
4201000   OBSERVATION PER HOUR              68.50                      42        MCU OBSV PROCEDURES & OBS
6501043   AMINOPHYLLINE 250MG IJ            31.00                      65        NUCLEAR MEDICINE
6500888   CAPTOPRIL                        309.00                      65        NUCLEAR MEDICINE
6500839   FUROSEMIDE 40 MG VIAL             38.84                      65        NUCLEAR MEDICINE
6501787   IRC ABSCSS INC SFT TISSUE        984.00                      65        NUCLEAR MEDICINE
6501944   NI DUPLEX EXT LOW BIL           1279.00                      65        NUCLEAR MEDICINE
6501951   NI DUPLEX EXT LOW UNI            764.00                      65        NUCLEAR MEDICINE
6501969   NI DUPLEX EXT UPP BIL           1010.00                      65        NUCLEAR MEDICINE
6501977   NI DUPLEX EXT UPP UNI            657.00                      65        NUCLEAR MEDICINE
6500961   NM ABSCSS LOC LTD                630.00                      65        NUCLEAR MEDICINE
6501084   NM AUTO DATA GEN GT 30           460.00                      65        NUCLEAR MEDICINE
6502082   NM BONE SCAN LTD                 467.00                      65        NUCLEAR MEDICINE
6500011   NM BONE SCAN LTD                 465.00                      65        NUCLEAR MEDICINE
6500029   NM BONE SCAN MULTI AREAS         680.00                      65        NUCLEAR MEDICINE
6500748   NM BONE SCAN W SPECT            1083.00                      65        NUCLEAR MEDICINE
6500037   NM BONE SCAN WB                  787.00                      65        NUCLEAR MEDICINE
6500730   NM BONE THREE PHASE              884.00                      65        NUCLEAR MEDICINE



                                                      Page 70
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


6502116   NM BOWEL (MECKELS)               901.00                      65        NUCLEAR MEDICINE
6502066   NM CS SAME MD ADD 15M            136.00                      65        NUCLEAR MEDICINE
6502058   NM CS SAME MD GT5YR 0-30M        272.00                      65        NUCLEAR MEDICINE
6502041   NM CS SAME MD LT5YR 0-30M        272.00                      65        NUCLEAR MEDICINE
6500474   NM CYSTOGRAM VOIDING             400.00                      65        NUCLEAR MEDICINE
6501274   NM GASTRIC EMPTYING              758.00                      65        NUCLEAR MEDICINE
6502090   NM GASTROESOPH REFLUX            760.00                      65        NUCLEAR MEDICINE
6500128   NM GI BLEEDING SCAN              897.00                      65        NUCLEAR MEDICINE
6500060   NM HEART GATED SNGL             1011.00                      65        NUCLEAR MEDICINE
6500995   NM HEART MP MULTI W SPECT       2125.00                      65        NUCLEAR MEDICINE
6501001   NM HEART MP W EF                 307.00                      65        NUCLEAR MEDICINE
6501019   NM HEART MP WALL MOTION          308.00                      65        NUCLEAR MEDICINE
6500144   NM HEPATOBILIARY DUCTAL          680.00                      65        NUCLEAR MEDICINE
6502074   NM INFLAM LOCAL W SPECT          984.00                      65        NUCLEAR MEDICINE
6500847   NM K FLOW/FUNCT W/DRUG           842.00                      65        NUCLEAR MEDICINE
6500177   NM K FLOW/FUNCT W/O DRG          827.00                      65        NUCLEAR MEDICINE
6502157   NM KIDNEY IMAGING MORPHOL        482.00                      65        NUCLEAR MEDICINE
6500201   NM LIVER SPLEEN STATIC           536.00                      65        NUCLEAR MEDICINE
6502140   NM LIVER SPLEEN W FLOW           682.00                      65        NUCLEAR MEDICINE
6500615   NM LIVER W SPECT                1063.00                      65        NUCLEAR MEDICINE
6500268   NM LUNG PERF                     636.00                      65        NUCLEAR MEDICINE
6502108   NM LUNG PERF VENT                930.00                      65        NUCLEAR MEDICINE
6501209   NM LUNG VENT W GAS               623.00                      65        NUCLEAR MEDICINE
6502173   NM LYMPHATIC PATHWAY             682.00                      65        NUCLEAR MEDICINE
6501993   NM PARATHYROID                   785.00                      65        NUCLEAR MEDICINE
6502124   NM SALIVARY GLND W SER           400.00                      65        NUCLEAR MEDICINE
6502132   NM THYROID IMAG ONLY             400.00                      65        NUCLEAR MEDICINE
6500565   NM THYROID IMAG UPT MULTI        474.00                      65        NUCLEAR MEDICINE
6502165   NM TUMOR LOC LTD W RP            863.00                      65        NUCLEAR MEDICINE
6500953   NM TUMOR LOC SPECT W RP         1197.00                      65        NUCLEAR MEDICINE
6500938   RP GALLIUM GA-67 DX 1 MCI        408.00                      65        NUCLEAR MEDICINE
6500573   RP I123 CAP DX 100UCI            498.00                      65        NUCLEAR MEDICINE
6501928   RP TC99M DISFNIN DX 15MCI        212.00                      65        NUCLEAR MEDICINE
6502017   RP TC99M MAA DX 10MCI            212.00                      65        NUCLEAR MEDICINE
6500755   RP TC99M MDP 1-30MCI             309.00                      65        NUCLEAR MEDICINE
6501365   RP TC99M MYOVIEW DX 40MCI        212.00                      65        NUCLEAR MEDICINE
6502009   RP TC99M PENTETA DX 25MCI        309.00                      65        NUCLEAR MEDICINE
6502033   RP TC99M RBC/TAG DX 30MCI        212.00                      65        NUCLEAR MEDICINE
6502025   RP TC99M SULFR/C DX 20MCI        212.00                      65        NUCLEAR MEDICINE
6501936   RP TECHNETIUM                    212.00                      65        NUCLEAR MEDICINE
6501050   RP TL-201 DX PER MCI             309.00                      65        NUCLEAR MEDICINE



                                                      Page 71
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


6501118   RP XE133 DX 10MCI                309.00                      65        NUCLEAR MEDICINE
6500649   SINCALIDE                        101.00                      65        NUCLEAR MEDICINE
6501894   XR MAN APP STRS ANY JNT          167.00                      65        NUCLEAR MEDICINE
4801064   10TH PRENATL VISIT               289.00                      48        OBSTETRICS CLINIC
4800017   AMNIOCENTESIS DIAGNOSTIC         169.00                      48        OBSTETRICS CLINIC
4800108   BX/LOCAL EXCSN CERV LSION         70.00                      48        OBSTETRICS CLINIC
4800173   CAUTERY CERV/CRYOCAUTERY          86.00                      48        OBSTETRICS CLINIC
4800116   CLIENT ORIENTATION                22.00                      48        OBSTETRICS CLINIC
4801080   COLPOSCOPY                        68.00                      48        OBSTETRICS CLINIC
4800124   COLPOSCOPY W BX/CURETTAGE        109.00                      48        OBSTETRICS CLINIC
4801403   COLPOSCOPY W LP ELECT BX         234.00                      48        OBSTETRICS CLINIC
4801296   COUNSEL 15 MIN                    42.00                      48        OBSTETRICS CLINIC
4801304   COUNSEL 30 MIN                    70.00                      48        OBSTETRICS CLINIC
4801312   COUNSEL 45 MIN                    99.00                      48        OBSTETRICS CLINIC
4800199   CURETTAGE POSTPARTUM             253.00                      48        OBSTETRICS CLINIC
4800256   DESTRCT VULVA LESION SMPL        118.00                      48        OBSTETRICS CLINIC
4800264   DIAPHRAGM/CERV CAP FITTNG         50.00                      48        OBSTETRICS CLINIC
4800322   EPISIOTOMY/VAG REPAIR            144.00                      48        OBSTETRICS CLINIC
4800413   HEALTH ED F/U(IND)                22.00                      48        OBSTETRICS CLINIC
4801056   INDIA INK PREP CSF                 8.00                      48        OBSTETRICS CLINIC
4800439   INIT COMP/CARE PLN(4WKS)         345.00                      48        OBSTETRICS CLINIC
4800454   INIT HEALTH/CARE PL ADD'L         22.00                      48        OBSTETRICS CLINIC
4800462   INIT NUTRI/CARE PL ADDL           22.00                      48        OBSTETRICS CLINIC
4800470   INIT OFFICE VISIT<16WKS          400.00                      48        OBSTETRICS CLINIC
4800488   INIT OFFICE VISIT>               321.00                      48        OBSTETRICS CLINIC
4800496   INIT PSYCOSOC/CARE PL ADD         22.00                      48        OBSTETRICS CLINIC
4801288   INITIAL BCM COUNSEL               30.00                      48        OBSTETRICS CLINIC
4800520   INITIAL HEALTH ED                 42.00                      48        OBSTETRICS CLINIC
4800546   INITIAL NUTRION                   42.00                      48        OBSTETRICS CLINIC
4800553   INITIAL PSYCHOSOCL                42.00                      48        OBSTETRICS CLINIC
4801346   INSERT IUD                        89.00                      48        OBSTETRICS CLINIC
4801460   LAP W FULGERATION OVIDUCT        525.00                      48        OBSTETRICS CLINIC
4800637   LEVEL 1 CONSULT MINOR             52.00                      48        OBSTETRICS CLINIC
4800959   LEVEL 1 EST PATIENT               65.00                      48        OBSTETRICS CLINIC
4801015   LEVEL 1 NEW PATIENT               65.00                      48        OBSTETRICS CLINIC
4800355   LEVEL 2 CONSULT LOW               69.00                      48        OBSTETRICS CLINIC
4800991   LEVEL 2 EST PATIENT               75.00                      48        OBSTETRICS CLINIC
4800306   LEVEL 2 NEW PATIENT               75.00                      48        OBSTETRICS CLINIC
4800330   LEVEL 3 CONSULT MODERATE         149.00                      48        OBSTETRICS CLINIC
4800983   LEVEL 3 EST PATIENT               85.00                      48        OBSTETRICS CLINIC
4800629   LEVEL 3 NEW PATIENT               85.00                      48        OBSTETRICS CLINIC



                                                      Page 72
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4800298   LEVEL 3 NEW PATIENT               85.00                      48        OBSTETRICS CLINIC
4800140   LEVEL 4 CONSULT MOD/HIGH         129.00                      48        OBSTETRICS CLINIC
4800975   LEVEL 4 EST PATIENT              142.00                      48        OBSTETRICS CLINIC
4800280   LEVEL 4 NEW PATIENT              142.00                      48        OBSTETRICS CLINIC
4800132   LEVEL 5 CONSULT HIGH             296.00                      48        OBSTETRICS CLINIC
4800967   LEVEL 5 EST PATIENT              152.00                      48        OBSTETRICS CLINIC
4800272   LEVEL 5 NEW PATIENT              152.00                      48        OBSTETRICS CLINIC
4801718   LEVONORGESTREL IUD               861.00                      48        OBSTETRICS CLINIC
4801429   LIGTN FALL TUBE(S) W C/S         131.00                      48        OBSTETRICS CLINIC
4801700   LUNELLE                           55.00                      48        OBSTETRICS CLINIC
4800223   MEDROXYPROGEST 150MG             120.00                      48        OBSTETRICS CLINIC
4801395   NST (NONSTRESS TEST)              95.00                      48        OBSTETRICS CLINIC
4800777   NUTRITION F/U(IND)                22.00                      48        OBSTETRICS CLINIC
4800090   PF C SECTION                     972.00                      48        OBSTETRICS CLINIC
4800025   PF C SECTION                     972.00                      48        OBSTETRICS CLINIC
4801783   PF CERCLAGE REM W ANESTH         384.00                      48        OBSTETRICS CLINIC
4801734   PF CERCLAGE VAGINAL              654.00                      48        OBSTETRICS CLINIC
4801791   PF CNZ CERV LP ELECT EXC         936.00                      48        OBSTETRICS CLINIC
4801031   PF DELIVERY VAGINAL             2976.00                      48        OBSTETRICS CLINIC
4800231   PF DESTR VAG LESION EXT         1147.00                      48        OBSTETRICS CLINIC
4800249   PF DESTR VULVA LESION EXT       1560.00                      48        OBSTETRICS CLINIC
4801767   PF DX ABDOM LAPAROSCOPY         1083.00                      48        OBSTETRICS CLINIC
4801775   PF DX HYSTEROSCPY W LYSIS        616.00                      48        OBSTETRICS CLINIC
4801825   PF EXC VAGINAL CYST/TUMOR        429.00                      48        OBSTETRICS CLINIC
4801742   PF EXP ABDOM LAPAROTOMY         2025.00                      48        OBSTETRICS CLINIC
4800561   PF INIT IP CONSULT 110MIN        342.00                      48        OBSTETRICS CLINIC
4800587   PF INIT IP CONSULT 40 MIN        185.00                      48        OBSTETRICS CLINIC
4800603   PF INIT IP CONSULT 55 MIN        202.00                      48        OBSTETRICS CLINIC
4800595   PF INIT IP CONSULT 80 MIN        325.00                      48        OBSTETRICS CLINIC
4801130   PF INITIAL CARE 30 MIN           148.00                      48        OBSTETRICS CLINIC
4801148   PF INITIAL CARE 50 MIN           247.00                      48        OBSTETRICS CLINIC
4801155   PF INITIAL CARE 70 MIN           308.00                      48        OBSTETRICS CLINIC
4801213   PF NB RESUSCITATION              450.00                      48        OBSTETRICS CLINIC
4800728   PF NEWBORN HISTORY/EXAM          144.00                      48        OBSTETRICS CLINIC
4801445   PF OBSRV/HSP SAME DAY HIG        402.00                      48        OBSTETRICS CLINIC
4801452   PF OBSRV/HSP SAME DAY LOW        243.00                      48        OBSTETRICS CLINIC
4801478   PF OBSRV/HSP SAME DAY MOD        332.00                      48        OBSTETRICS CLINIC
4801809   PF OVARIAN CYSTECTOMY           1423.00                      48        OBSTETRICS CLINIC
4801759   PF PELVIC EXAM W ANESTH          210.00                      48        OBSTETRICS CLINIC
4801163   PF SUBSEQ HOSP CARE LVL 1         95.00                      48        OBSTETRICS CLINIC
4801320   PF SUBSEQ HOSP CARE LVL 2        125.00                      48        OBSTETRICS CLINIC



                                                      Page 73
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4801189   PF SUBSEQ HOSP CARE LVL 3        202.00                      48        OBSTETRICS CLINIC
4800710   PF SUBSEQ NWBRN CARE HOSP         73.00                      48        OBSTETRICS CLINIC
4801114   PF TX INCOMPLETE AB              342.00                      48        OBSTETRICS CLINIC
4800793   POSTPARIM HEALTH                  22.00                      48        OBSTETRICS CLINIC
4800801   POSTPARTM PSYCOSOC                22.00                      48        OBSTETRICS CLINIC
4800835   POSTPARTUM NUTRIT                 22.00                      48        OBSTETRICS CLINIC
4800819   POSTPARTUM VISIT                 153.00                      48        OBSTETRICS CLINIC
4800868   PREGNANCY SCRN UR                 13.00                      48        OBSTETRICS CLINIC
4800876   PRENATAL ED (GRP)                  8.00                      48        OBSTETRICS CLINIC
4800884   PRENATAL ED (IND)                 22.00                      48        OBSTETRICS CLINIC
4800892   PRENATAL VITAMINS                101.00                      48        OBSTETRICS CLINIC
4800918   PSYCHOSOC F/U(IND)                22.00                      48        OBSTETRICS CLINIC
4801098   REMOVE IUD                        76.00                      48        OBSTETRICS CLINIC
4800751   RMVL IMPLNT CONTRACTP CAP        125.00                      48        OBSTETRICS CLINIC
4800926   ROUTINE PN VISIT                 153.00                      48        OBSTETRICS CLINIC
4801338   S STRL PARAGUARD I.U.D.          555.00                      48        OBSTETRICS CLINIC
4801601   S STRL PREVEN                     46.00                      48        OBSTETRICS CLINIC
4800694   TX MSSD AB SURG 1ST TRI          211.00                      48        OBSTETRICS CLINIC
7200033   CYTO CL BLK 5 CNT/1 KARY          96.00                      72        PATHOLOGY
7200041   CYTOLOGY FLD                      89.00                      72        PATHOLOGY
7200058   DECALCIFICATION                   89.00                      72        PATHOLOGY
7200025   INTERP BM SMR                     54.00                      72        PATHOLOGY
7200124   SPEC STAIN GRP I MICROORG         80.00                      72        PATHOLOGY
7200132   SPEC STAIN GRP II                 89.00                      72        PATHOLOGY
7200116   SURG PATH LVL I                   46.00                      72        PATHOLOGY
7200066   SURG PATH LVL II                  59.00                      72        PATHOLOGY
7200074   SURG PATH LVL III                 80.00                      72        PATHOLOGY
7200082   SURG PATH LVL IV                 113.00                      72        PATHOLOGY
7200090   SURG PATH LVL V                  145.00                      72        PATHOLOGY
7200108   SURG PATH LVL VI                 197.00                      72        PATHOLOGY
4507802   ACEBUTOLOL 200 MG CAPSULE         11.01                      45        PHARMACY
4502597   ACETAZOLAMIDE 250MG TABLE          9.87                      45        PHARMACY
4502613   ACETAZOLAMIDE 500 MG CAP          14.07                      45        PHARMACY
4502605   ACETAZOLAMIDE 500MG INJ          116.92                      45        PHARMACY
4513206   ACETIC ACID 0.25% IRRIG           72.50                      45        PHARMACY
4505418   ACETYLCHOLINE 1:100 SOLU         124.78                      45        PHARMACY
4505582   ACETYLCYSTEINE 20% SOLN           44.37                      45        PHARMACY
4500062   ACTIFED/COD C SYRUP                3.00                      45        PHARMACY
4509832   ACYCLOVIR 200 MG CAP              11.23                      45        PHARMACY
4509840   ACYCLOVIR 500 MG VIAL             91.92                      45        PHARMACY
4509808   ACYCLOVIR OINT 5%                215.98                      45        PHARMACY



                                                      Page 74
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


3800117   ADENOSINE 6 MG RX IJ             113.74                      38        PHARMACY
4500138   ALBUMIN 25%/20ML                 292.30                      45        PHARMACY
4512851   ALBUMIN 25%/50ML                 393.00                      45        PHARMACY
4500146   ALBUTEROL .5% SVN SOL             10.64                      45        PHARMACY
4507398   ALBUTEROL 2 MG/5 ML SYRUP         38.50                      45        PHARMACY
4515375   ALBUTEROL 2.5MG/3ML               10.59                      45        PHARMACY
4507372   ALBUTEROL INHALER                 60.80                      45        PHARMACY
4512026   ALENDRONATE 10 MG TABLET          12.00                      45        PHARMACY
4500211   ALFENTANIL 1000 MCG AMP           66.57                      45        PHARMACY
4500229   ALFENTANIL 2500 MCG AMP           74.59                      45        PHARMACY
4509857   ALLOPURINOL 100 MG TABLET          9.43                      45        PHARMACY
4509865   ALLOPURINOL 300 MG TABLET          8.00                      45        PHARMACY
4513263   ALOH GEL CONC SUSP                15.50                      45        PHARMACY
4509659   ALPRAZOLAM 0.25 MG TABLET         19.26                      45        PHARMACY
4509667   ALPRAZOLAM 0.5 MG TABLET          19.50                      45        PHARMACY
4507356   ALPROSTADIL 500 MCG VIAL         485.96                      45        PHARMACY
3800059   ALTEPLASE 1MG IJ                 198.18                      38        PHARMACY
4508347   AMANTADINE 100 MG CAPSULE         10.23                      45        PHARMACY
4500260   AMIKACIN 500 MG VIAL              52.22                      45        PHARMACY
4500252   AMINOCAPROIC AC 500 MG TB         14.10                      45        PHARMACY
4510616   AMINOCAPROIC AC 5GM IJ            57.50                      45        PHARMACY
4500278   AMINOPHYLLINE 500 MG VIAL         70.44                      45        PHARMACY
4512158   AMIODARONE 150 MG AMPULE          84.30                      45        PHARMACY
4502118   AMIODARONE 200 MG TABLET          16.05                      45        PHARMACY
4503033   AMITRIPTYLINE 10 MG TABLE          9.34                      45        PHARMACY
4503041   AMITRIPTYLINE 25 MG TABLE          9.73                      45        PHARMACY
4506283   AMLODIPINE 5MG TAB                12.45                      45        PHARMACY
4500328   AMOXICILLIN 250 MG CAPSUL          9.48                      45        PHARMACY
4500294   AMOXICILLIN 250/5 ML SUSP         21.19                      45        PHARMACY
4500336   AMOXICILLIN 500 MG CAPSUL          7.50                      45        PHARMACY
4503561   AMPHO B LPD CMPLX 10MG IJ        464.42                      45        PHARMACY
4500401   AMPICILLIN 1 GRAM VIAL            80.39                      45        PHARMACY
4500427   AMPICILLIN 2 GRAM VIAL            93.62                      45        PHARMACY
4509246   AMPICILLIN/SULB 1.5GM IJ          89.00                      45        PHARMACY
4509253   AMPICILLIN/SULB 3GM              107.04                      45        PHARMACY
4500971   ANALGESIC BALM CREAM              41.33                      45        PHARMACY
4510731   ANTIVENIN BLACK WIDOW KIT        111.00                      45        PHARMACY
4510723   ANTIVENIN RATTLESNAKE KIT       1066.00                      45        PHARMACY
4500542   ANUSOL RECTAL SUPPOSITORY         10.29                      45        PHARMACY
4500013   APAP 120 MG SUPP                   9.74                      45        PHARMACY
4515565   APAP 160MG/5ML                    10.76                      45        PHARMACY



                                                      Page 75
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4509188   APAP 160MG/5ML LIQUID              9.09                      45        PHARMACY
4509238   APAP 325 MG CAPLET                 0.90                      45        PHARMACY
4500021   APAP 325MG SUPP                   10.33                      45        PHARMACY
4514816   APAP 500MG TAB                     0.90                      45        PHARMACY
4500039   APAP 650 MG SUPP                   8.42                      45        PHARMACY
4514766   APAP 80MG/0.8 ML                   2.50                      45        PHARMACY
4514345   APAP/COD 120-12/5 UD SOL          19.04                      45        PHARMACY
4509170   APAP/COD 120-12MG/5ML SOL         19.04                      45        PHARMACY
4509212   APAP/COD 300-30 MG TA             18.66                      45        PHARMACY
4509220   APAP/COD 300-60 MG TA             19.12                      45        PHARMACY
4506390   APAP/OXYCOD 5-325MG TAB           18.60                      45        PHARMACY
4502365   APAP/PROPOX NAP TAB               19.38                      45        PHARMACY
4510756   ASA 125MG SUPP                     2.50                      45        PHARMACY
4510764   ASA 300 MG SUPPOSITOR              9.95                      45        PHARMACY
4513321   ASA 325 MG EC TAB                  0.90                      45        PHARMACY
4500682   ASA 325 MG TABLET                  0.90                      45        PHARMACY
4514550   ASA 600 MG SUPPOSITOR              9.99                      45        PHARMACY
4513305   ASA 81 MG CHEWABLE                 0.90                      45        PHARMACY
4513347   ASA 81 MG EC TAB                   0.90                      45        PHARMACY
4503108   ASA/COD 325-30 TAB                 3.00                      45        PHARMACY
4506663   ASA/OXYCOD 5-325MG TAB            15.50                      45        PHARMACY
4500633   ASCORBIC ACID 1 GM AMPULE         61.00                      45        PHARMACY
4500641   ASCORBIC ACID 500 MG TABL          9.01                      45        PHARMACY
4512521   ATENOLOL 25 MG TABLET             10.59                      45        PHARMACY
4512364   ATORVASTATIN 10MG TAB             15.05                      45        PHARMACY
4511804   ATORVASTATIN 20MG TAB              5.00                      45        PHARMACY
4500823   ATROPINE 1 MG SYRINGE             43.12                      45        PHARMACY
4500815   ATROPINE 1 MG VIAL                36.94                      45        PHARMACY
4500773   ATROPINE 1% OPTH SOL              23.86                      45        PHARMACY
4514923   AUGMENTIN                         22.73                      45        PHARMACY
4500849   AUGMENTIN 125MG/5ML SUS           66.68                      45        PHARMACY
4500864   AUGMENTIN 250 MG TABLET           15.34                      45        PHARMACY
4500856   AUGMENTIN 250MG/5ML SUS          108.33                      45        PHARMACY
4500872   AUGMENTIN 500 MG TABLET           16.00                      45        PHARMACY
4500880   AURALGAN-BENZOCAINE OTI           23.15                      45        PHARMACY
4504106   AZATHIOPRINE ORAL 50MG            11.87                      45        PHARMACY
4512737   AZITHROMYCIN 200MG/5ML            95.58                      45        PHARMACY
4500914   AZITHROMYCIN 250MG TAB            26.29                      45        PHARMACY
4511853   AZITHROMYCIN 500MG IJ            133.30                      45        PHARMACY
4500898   AZTREONAM 1 GRAM VIAL            127.49                      45        PHARMACY
4500906   AZTREONAM 2 GRAM VIAL            183.86                      45        PHARMACY



                                                      Page 76
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4500948   B&O 16.2-60 MG SUPP               25.07                      45        PHARMACY
4506952   BACI/POLYMIX OPTH                 69.52                      45        PHARMACY
4500955   BACITRACIN 50,000 U VIAL          75.56                      45        PHARMACY
4510343   BACITRACIN OINTMENT               23.78                      45        PHARMACY
4500963   BACITRACIN OPTH OINTMENT          27.48                      45        PHARMACY
4504866   BACLOFEN 10 MG TABLET             10.21                      45        PHARMACY
4507844   BACTRIM 800-160 10MLVL            89.34                      45        PHARMACY
4507869   BACTRIM 800-160MG DS TAB          11.23                      45        PHARMACY
4507851   BACTRIM200-40MGSU                 10.15                      45        PHARMACY
4509352   BECLOMETHASONE INHALER           121.00                      45        PHARMACY
4509345   BECLOMETHASONE NAS INHALE         77.00                      45        PHARMACY
4510368   BENAZEPRIL 10MG TAB               11.09                      45        PHARMACY
4511184   BENZOCAINE 20% SPRAY 60ML         25.00                      45        PHARMACY
4513610   BENZOIN TINCTURE                  23.48                      45        PHARMACY
4508552   BENZONATATE 100MG                 11.55                      45        PHARMACY
4501995   BENZTROPINE 1 MG TABLET            9.51                      45        PHARMACY
4502019   BENZTROPINE 2 MG AMPULE           52.40                      45        PHARMACY
4511655   BEPRIDIL HCL 200MG TAB            12.50                      45        PHARMACY
4515219   BETA-CAROTENE 25000U CAP           9.11                      45        PHARMACY
4515433   BETAMETHASONE                     10.41                      45        PHARMACY
4502761   BETAMETHASONE 0.05% CREAM         33.58                      45        PHARMACY
4501755   BETAMETHASONE 15 MG VIAL          24.50                      45        PHARMACY
4501748   BETAMETHASONE 30 MG VIAL          98.56                      45        PHARMACY
4512943   BETAXOLOL 0.25% OPTH SUS          65.12                      45        PHARMACY
4501094   BETAXOLOL 0.5% 2.5 ML             61.40                      45        PHARMACY
4509279   BETHANECHOL 5.15 MG VIAL          29.00                      45        PHARMACY
4502928   BISACODYL 10 MG SUPPOSITO          9.33                      45        PHARMACY
4502936   BISACODYL 5 MG EC TABLET           9.09                      45        PHARMACY
4517520   BRETYLIUM TOSYL 500 MG VL         83.50                      45        PHARMACY
4512836   BRIMONIDINE 0.2% OPTH SOL        110.40                      45        PHARMACY
4513362   BROMOCRIPTINE 2.5 MG TAB          13.37                      45        PHARMACY
4501268   BSS OPTH IRRIG SOLN              148.36                      45        PHARMACY
4501276   BSS OPTHALMIC IRRIG SOLN          63.34                      45        PHARMACY
4501284   BSS OPTHALMIC SOLUTION            28.72                      45        PHARMACY
4515391   BUDESONIDE 0.25MG/2ML             20.87                      45        PHARMACY
4514394   BUDESONIDE 0.5MG/2ML              20.87                      45        PHARMACY
4510624   BUMETANIDE 0.5MG IJ                2.50                      45        PHARMACY
4501300   BUMETANIDE 1 MG TABLET             8.24                      45        PHARMACY
4501292   BUMETANIDE 1 MG VIAL              33.18                      45        PHARMACY
4511986   BUMETANIDE 2.5 MG VIAL            39.50                      45        PHARMACY
4513982   BUPIV/EPI 0.5%                    39.92                      45        PHARMACY



                                                      Page 77
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4513941   BUPIVACAINE 0.25% VIA             38.50                      45        PHARMACY
4512513   BUPIVACAINE 0.5%                  83.50                      45        PHARMACY
4513974   BUPIVACAINE 0.5% VIAL             49.02                      45        PHARMACY
4514675   BUPROPION SR 150MG PO             14.21                      45        PHARMACY
4501326   BUSPIRONE 5 MG TABLET             10.55                      45        PHARMACY
4508180   BUTORPHANOL 2 MG VIAL             68.44                      45        PHARMACY
4514725   BUTORPHANOL TART 1MG IJ           68.44                      45        PHARMACY
4515235   CA ACET 667MG TABLET               9.67                      45        PHARMACY
4509147   CA CARB 500 MG CHEW TABLE          9.03                      45        PHARMACY
4506382   CA CARB 500 MG TABLE               9.17                      45        PHARMACY
4501334   CA CL 10% VIAL                    37.54                      45        PHARMACY
4501433   CA GLUCONATE 10% VIA              37.74                      45        PHARMACY
4501342   CALAMINE LOTION                   38.54                      45        PHARMACY
4501417   CALCITONIN 400U IJ               207.17                      45        PHARMACY
4512273   CALCITONIN NASAL SP 200IU        116.06                      45        PHARMACY
4512356   CALCITRIOL 0.25MCG PO             11.83                      45        PHARMACY
4501441   CANDIDA SKN TST                   61.49                      45        PHARMACY
4509790   CAPSAICIN CREAM                   31.88                      45        PHARMACY
4501458   CAPTOPRIL 12.5 MG TABLET          10.45                      45        PHARMACY
4501466   CAPTOPRIL 25 MG TABLET            10.55                      45        PHARMACY
4510822   CARBACHOL 1.5% OPTH SOLN          94.10                      45        PHARMACY
4510830   CARBACHOL 3% OPTH SOLUTIO        104.86                      45        PHARMACY
4508503   CARBAMAZEPINE 200 MG TABL          9.71                      45        PHARMACY
4502381   CARBAMIDE PEROX6.5%OTICSL         23.96                      45        PHARMACY
4511952   CARBOPROST 250MCG/ML AMP         156.00                      45        PHARMACY
4508156   CARISOPRODOL 350 MG TABLE         10.19                      45        PHARMACY
4515359   CARVEDILOL 3.125 MG TAB           13.01                      45        PHARMACY
4512455   CARVEDILOL 6.25 MG TABLET         10.50                      45        PHARMACY
4511911   CASCARA AROM FLUID EXTRAC         21.00                      45        PHARMACY
4501706   CEFACLOR 250MG CAPSULE            12.97                      45        PHARMACY
4500443   CEFAZOLIN 1 GRAM VIAL             71.14                      45        PHARMACY
4508313   CEFIXIME 100 MG/5ML SUSP          95.50                      45        PHARMACY
4515714   CEFOXITIN 1GM                     97.97                      45        PHARMACY
4503546   CEFTAZIDIME 1 GRAM VIAL           89.02                      45        PHARMACY
4515292   CEFTRIAXONE 1GM ADVANTAGE        144.00                      45        PHARMACY
4507737   CEFTRIAXONE 1GM IV/IM            163.92                      45        PHARMACY
4507752   CEFTRIAXONE 250MG IJ             101.58                      45        PHARMACY
4507760   CEFTRIAXONE 500MG IV             125.68                      45        PHARMACY
4511432   CEFUROXIME 250 MG TABLET          17.75                      45        PHARMACY
4511374   CEFUROXIME NA 750MG IJ            79.42                      45        PHARMACY
4514113   CELECOXIB 100MG CAPSULE           13.23                      45        PHARMACY



                                                      Page 78
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4510848   CEPACOL ANESTH LOZENG              7.00                      45        PHARMACY
4508768   CEPACOL LOZENGE                    9.31                      45        PHARMACY
4514980   CEPHALEXIN 125MG/5ML             112.02                      45        PHARMACY
4504502   CEPHALEXIN 250 MG CAPSULE          9.33                      45        PHARMACY
4504510   CEPHALEXIN CAP 500MG               9.00                      45        PHARMACY
4509907   CETACAINE SPRAY/DO                 9.78                      45        PHARMACY
4500054   CHARCOAL 50GRAM SUSP              65.77                      45        PHARMACY
4501797   CHLORAL HYDRATE 500 MG/5M         39.00                      45        PHARMACY
4501813   CHLORAMPHENICOL 1GM IJ            12.00                      45        PHARMACY
4501805   CHLORASEPTIC SPRAY                23.18                      45        PHARMACY
4504809   CHLORDIAZEPOXD 10 MG CA            9.43                      45        PHARMACY
4510855   CHLORDIAZEPOXD 25 MG CA           18.44                      45        PHARMACY
4504825   CHLORDIAZEPOXD 5 MG CAP            9.34                      45        PHARMACY
4504833   CHLORDIAZEPOXD INJ 100MG          96.00                      45        PHARMACY
4513818   CHLOROPROCAINE 30ML IJ            67.46                      45        PHARMACY
4501839   CHLORPHENIRAMIN 4 MG TAB           9.31                      45        PHARMACY
4512901   CHLORPROMAZINE 25 MG AMP          44.34                      45        PHARMACY
4508750   CHLORPROMAZINE 25MG TAB            9.55                      45        PHARMACY
4508743   CHLORPROMAZINE 50MG IJ            45.24                      45        PHARMACY
4502589   CHLORPROPAMIDE 500 MG              4.00                      45        PHARMACY
4512133   CHOLECALCIFEROL 400 IU CA          9.03                      45        PHARMACY
4510244   CHOLESTYRAMINE 4 GM PKT           15.33                      45        PHARMACY
4508446   CIMETIDINE 300 MG TABLET           9.27                      45        PHARMACY
4508438   CIMETIDINE 300 MG/5ML SOL         12.73                      45        PHARMACY
4508420   CIMETIDINE 300MG IJ               39.96                      45        PHARMACY
4508453   CIMETIDINE 400 MG TABLET          12.33                      45        PHARMACY
4501854   CIPRO 0.3% OPTH SOLUTIO          128.74                      45        PHARMACY
4501862   CIPRO 250 MG TABLET               18.17                      45        PHARMACY
4501870   CIPRO 400 MG VIAL                129.54                      45        PHARMACY
4501888   CIPRO 500 MG TABLET               19.50                      45        PHARMACY
4515037   CIPRO IV 400MG/200ML D5W         113.96                      45        PHARMACY
4514899   CITALOPRAM                        14.11                      45        PHARMACY
4508073   CITRIC ACID SO                    10.77                      45        PHARMACY
4501912   CLINDAMYCIN 150MG CAP             11.33                      45        PHARMACY
4510582   CLINDAMYCIN 300MG IJ              76.62                      45        PHARMACY
4504577   CLONAZEPAM 0.5 MG TABLET          40.59                      45        PHARMACY
4501672   CLONIDINE 0.1 MG TABLET            9.47                      45        PHARMACY
4501649   CLONIDINE-1 PATCH                 42.33                      45        PHARMACY
4501656   CLONIDINE-2 PATCH                 65.13                      45        PHARMACY
4501664   CLONIDINE-3 PATCH                 90.11                      45        PHARMACY
4514238   CLOPIDOGREL 75 MG TAB             18.73                      45        PHARMACY



                                                      Page 79
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4509071   CLORAZEPATE 3.75MG TAB            11.55                      45        PHARMACY
4505012   CLOTRI/BETAMETH CR 15GM           63.72                      45        PHARMACY
4505004   CLOTRIMAZOLE 1% CREAM             37.84                      45        PHARMACY
4505657   CLOTRIMAZOLE 10MG                 13.02                      45        PHARMACY
4501961   COCAINE 10% TOP SOLUTION         370.00                      45        PHARMACY
4501987   CODEINE 30 MG TABLET              19.02                      45        PHARMACY
4502043   COLCHICINE 0.6 MG TABLET           9.51                      45        PHARMACY
4510863   COLLODION                         46.28                      45        PHARMACY
4503694   COLYTE 4000 ML SOLUTION           45.91                      45        PHARMACY
4512109   COMBIVENT INHALER                192.16                      45        PHARMACY
4509881   COSYNTROPIN 0.25MG IJ            248.54                      45        PHARMACY
4504247   CROMOLYN INHALER                 142.73                      45        PHARMACY
4511200   CROMOLYN SVN SOLUTION             10.39                      45        PHARMACY
4510889   CYANIDE KIT                      928.50                      45        PHARMACY
4509592   CYANOCOBALAMIN 1000MCG IJ         37.24                      45        PHARMACY
4513404   CYANOCOBALAMIN 500 MCG TB          9.07                      45        PHARMACY
4503454   CYCLOBENZAPRINE 10 MG TAB         10.93                      45        PHARMACY
4502258   CYCLOPENTOLATE 1% OPTH SL         71.12                      45        PHARMACY
4511283   CYPROHEPTADINE 4MG TAB             2.00                      45        PHARMACY
4513420   D10W 1000ML                       43.50                      45        PHARMACY
4513446   D10W 500ML                        43.00                      45        PHARMACY
4512976   D10W 5ML                          17.50                      45        PHARMACY
4513461   D51/2NS 1000ML                    43.00                      45        PHARMACY
4515185   D51/2NS 1000ML/KCL 20             56.04                      45        PHARMACY
4513503   D51/4NS 1000ML                    42.50                      45        PHARMACY
4513529   D5LR 1000ML                       43.00                      45        PHARMACY
4513545   D5NS 1000ML                       42.50                      45        PHARMACY
4515201   D5NS 1000ML/KCL 20                56.78                      45        PHARMACY
4513560   D5NS 500ML                        52.50                      45        PHARMACY
4513586   D5W 1000ML                        27.00                      45        PHARMACY
4515177   D5W 1000ML/KCL 20                 56.26                      45        PHARMACY
4513271   D5W 100ML                          4.50                      45        PHARMACY
4513297   D5W 150ML                          3.00                      45        PHARMACY
4513313   D5W 250ML                          3.50                      45        PHARMACY
4513354   D5W 500ML                         42.00                      45        PHARMACY
4514212   D5W 50ML                           4.50                      45        PHARMACY
4514568   DAKINS SOLN 0.25% 16OZ            32.32                      45        PHARMACY
3800000   DARBEPOETIN 1MCG NON-ESRD         12.50                      38        PHARMACY
4510897   DEFEROXAMINE 500MG IJ             63.50                      45        PHARMACY
4502464   DEMECLOCYCLINE 150 MG TAB         27.83                      45        PHARMACY
4502506   DES IMG                            2.50                      45        PHARMACY



                                                      Page 80
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4514907   DESIPRAMINE                        9.95                      45        PHARMACY
4502522   DESITIN OINTMENT                  23.88                      45        PHARMACY
4515482   DESMOPRESSIN 4MCG AMPULE          75.46                      45        PHARMACY
4510905   DESOXIMETASONE 0.25% CREA         69.70                      45        PHARMACY
4511572   DESOXIMETASONE 60GM               16.00                      45        PHARMACY
4510913   DEXAMETHASONE 10 MG VIAL          40.64                      45        PHARMACY
4502431   DEXAMETHASONE 4 MG TABLET         10.23                      45        PHARMACY
4502423   DEXAMETHASONE 4 MG VIAL           38.72                      45        PHARMACY
4514386   DEXTRAN 40/NS 500ML              359.00                      45        PHARMACY
4513370   DEXTRAN 70/NS 500ML               73.96                      45        PHARMACY
4502555   DEXTROSE 50% 25 GM SYRING         42.22                      45        PHARMACY
4509303   DIAZEPAM 10 MG VIAL               59.02                      45        PHARMACY
4509329   DIAZEPAM 2 MG TABLET              18.46                      45        PHARMACY
4509337   DIAZEPAM 5MG TABLET               18.62                      45        PHARMACY
4510988   DICHLROFLUORMTH SPRAY             66.50                      45        PHARMACY
4502977   DICLOXACILLIN 250 MG CAP          10.31                      45        PHARMACY
4502993   DICLOXACILLIN 500 MG CAP           9.00                      45        PHARMACY
4502985   DICLOXACILLIN62.5MG/5MLSU         26.50                      45        PHARMACY
4501045   DICYCLOMINE 10 MG CAPSULE          7.95                      45        PHARMACY
4501060   DICYCLOMINE 10MG/ML AMP           71.40                      45        PHARMACY
4502670   DIGOXIN 0.05MG/ML PED DRO         35.50                      45        PHARMACY
4502647   DIGOXIN 0.5MG IJ                  39.72                      45        PHARMACY
3800257   DIGOXIN IMM FAB VIAL IJ         1235.96                      38        PHARMACY
4502654   DIGOXIN TAB 0.125M                 9.42                      45        PHARMACY
4502662   DIGOXIN TAB 0.25MG                 9.42                      45        PHARMACY
4509956   DIHYDROERGOTAMINE 1MG IJ         104.00                      45        PHARMACY
4501607   DILTIAZEM 120 MG CAP              11.38                      45        PHARMACY
4501615   DILTIAZEM 30 MG TABLET             9.89                      45        PHARMACY
4509899   DILTIAZEM 50 MG VIAL              81.92                      45        PHARMACY
4501565   DILTIAZEM 60 MG TABLET             8.00                      45        PHARMACY
4501524   DILTIAZEM CD 180 MG CAPSU         11.87                      45        PHARMACY
4512497   DILTIAZEM INFUSION                66.50                      45        PHARMACY
4501599   DILTIAZEM SR 90MG                  5.50                      45        PHARMACY
4510798   DIMERCAPROL 300 MG AMPULE        194.00                      45        PHARMACY
4502746   DIMETAPP ELEXIR                    2.50                      45        PHARMACY
4510434   DINOPROSTONE 10MGVAG INSR        492.36                      45        PHARMACY
4507141   DINOPROSTONE GEL .5 MGKIT        478.10                      45        PHARMACY
4510467   DINOPROSTONE SUPP 20MG           984.00                      45        PHARMACY
4500989   DIPHENHYDRAMINE 12.5MG/5M         15.07                      45        PHARMACY
4501003   DIPHENHYDRAMINE 25 MG CAP          7.67                      45        PHARMACY
4500997   DIPHENHYDRAMINE 50MG IJ           32.11                      45        PHARMACY



                                                      Page 81
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4501011   DIPHENHYDRAMINE 50MG PO            7.00                      45        PHARMACY
4507315   DIPIVEFRIN 0.1% OPTH SOLN         46.12                      45        PHARMACY
4506697   DIPYRIDAMOLE 25 MG TABLET         10.01                      45        PHARMACY
3800323   DIPYRIDAMOLE/10MG IJ             155.50                      38        PHARMACY
4506259   DISOPYRAMIDE 100MG CAPSUL         10.37                      45        PHARMACY
4506267   DISOPYRAMIDE 150MG                 3.00                      45        PHARMACY
4511895   DIVALPROEX 125 MG EC TAB          10.39                      45        PHARMACY
4514352   DIVALPROEX 500MG TAB              11.50                      45        PHARMACY
4513396   DOBUTAMINE 250MG IJ               47.50                      45        PHARMACY
4511994   DOCUSATE 20MG/5 ML SYR            14.50                      45        PHARMACY
4508321   DOCUSATE CA 240MG CAPSUL           9.27                      45        PHARMACY
4502027   DOCUSATE NA 100MG CAPSUL           9.47                      45        PHARMACY
4502910   DOCUSATE NA 250MG CAPSUL           9.19                      45        PHARMACY
4506671   DOCUSATE/CASAN CAP                 2.50                      45        PHARMACY
4514956   DOLASETRON 12.5 MG                75.02                      45        PHARMACY
4515144   DONEPEZIL 5MG TABLET              20.47                      45        PHARMACY
4502860   DONNATAL ELIXIR                    9.31                      45        PHARMACY
4502878   DONNATAL TAB                      18.10                      45        PHARMACY
4504254   DOPAMINE 400 MG VIAL              73.68                      45        PHARMACY
4515342   DOPAMINE 400MG/D5W 250ML          66.86                      45        PHARMACY
4502886   DOXAPRAM INJ                     212.74                      45        PHARMACY
4501623   DOXAZOSIN 2 MG TABLET             10.95                      45        PHARMACY
4510954   DOXEPIN 10 MG CAPSULE              9.63                      45        PHARMACY
4511788   DOXEPIN 25 MG CAPSULE              9.57                      45        PHARMACY
4509477   DOXYCYCLINE 100 MG CAPSUL         10.19                      45        PHARMACY
4509485   DOXYCYCLINE 100 MG VIAL          101.42                      45        PHARMACY
4515672   DROPERIDOL 5MG IJ                 40.55                      45        PHARMACY
4515474   DROTRECOGIN 20MG VIAL           2414.18                      45        PHARMACY
4502969   DYAZIDE 37.5-25 MG CAPSUL         10.63                      45        PHARMACY
4508537   EDROPHONIUM 150 MG VIAL           57.46                      45        PHARMACY
4513479   EDTA 3 GRAM AMP                  117.00                      45        PHARMACY
4510814   EDTA DISOD 1GRAM                 147.50                      45        PHARMACY
4506481   EES/SULFISOX 200-600 SUSP         31.98                      45        PHARMACY
4509394   ENALAPRIL 10MG TABLET             11.37                      45        PHARMACY
4512166   ENALAPRIL 2.5 MG TAB              10.59                      45        PHARMACY
4512745   ENALAPRIL 5 MG TABLET              8.50                      45        PHARMACY
4509386   ENALAPRILAT 1.25 MG VIAL          42.82                      45        PHARMACY
4505038   ENOXAPARIN IV 30MG                80.56                      45        PHARMACY
4514931   ENOXAPARIN IV 40MG                97.80                      45        PHARMACY
4503132   EPHEDRINE 50 MG AMP               37.64                      45        PHARMACY
4503140   EPINEPHRINE 1 MG SYRINGE          41.02                      45        PHARMACY



                                                      Page 82
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4513222   EPINEPHRINE 1:1K TOP SOL          59.00                      45        PHARMACY
4503173   EPINEPHRINE 1MG AMP               37.06                      45        PHARMACY
4503157   EPINEPHRINE 30 MG VIAL            47.22                      45        PHARMACY
4513495   EPINEPHRINE-PG 1 MG AMP           44.68                      45        PHARMACY
4514758   EPOETIN 20,000 UNITS INJ         644.46                      45        PHARMACY
3811676   EPOETIN NON-ESRD/1000U IJ         32.50                      38        PHARMACY
4504007   ERGOLOID MESYLS 1MG TAB            3.50                      45        PHARMACY
4503231   ERYTHROMYCIN 1 GRAM VL           103.78                      45        PHARMACY
4503215   ERYTHROMYCIN 200 MG/5 ML          31.98                      45        PHARMACY
4503264   ERYTHROMYCIN 250 MG TABLE          9.51                      45        PHARMACY
4503256   ERYTHROMYCIN 500 MG TABLE          3.00                      45        PHARMACY
4503272   ERYTHROMYCIN 500 MG VL            89.86                      45        PHARMACY
4503207   ERYTHROMYCIN OPTH OINTMEN         27.78                      45        PHARMACY
4511002   ERYTHROMYCIN OPTH OINTU/D         26.32                      45        PHARMACY
4510418   ESMOLOL 100 MG VIAL              117.96                      45        PHARMACY
4501235   ESMOLOL 2.5 GRAM VIAL            287.00                      45        PHARMACY
4511028   ESTRADIOL 0.05 MG PATCH            4.00                      45        PHARMACY
4503298   ESTRADIOL 1 MG TABLET              9.61                      45        PHARMACY
4512893   ESTRADIOL 50 MG VIAL             191.68                      45        PHARMACY
4502456   ESTRADIOL VAL 20MG IJ             27.00                      45        PHARMACY
4507067   ESTROGEN CONJ 25 MG IJ           148.50                      45        PHARMACY
4507083   ESTROGENS TAB .625MG              11.41                      45        PHARMACY
4507075   ESTROGENS TAB 0.3MG               11.41                      45        PHARMACY
4507125   ESTROGENS VAG CREAM              175.00                      45        PHARMACY
4511267   ESTROPIPATE 0.625MG TAB            9.85                      45        PHARMACY
4515326   ETHACRYNIC ACID 25MG               9.73                      45        PHARMACY
4503017   ETHACRYNIC ACID 50 MG TAB          3.50                      45        PHARMACY
4503009   ETHACRYNIC ACID 50MG VIAL         83.56                      45        PHARMACY
4505640   ETHAMBUTOL 400MG TB               12.56                      45        PHARMACY
3800141   ETHANOLOMINE 100MG IJ            236.36                      38        PHARMACY
4502621   ETIDRONATE 200 MG TABLET          12.00                      45        PHARMACY
4511903   ETOH DEHYDRATED AMPULE            37.50                      45        PHARMACY
4503306   ETOMIDATE 20 MG AMPULE            65.98                      45        PHARMACY
3800166   ETOPOSIDE 10MG IJ                227.00                      38        PHARMACY
4512604   EYE DROP COCTAIC                  16.50                      45        PHARMACY
4510129   EYE IRRIG OPTH SOLN               43.62                      45        PHARMACY
4504635   EYE LUBE OPTH OINT                21.50                      45        PHARMACY
4506630   FAMOTIDINE 20MG VIAL              43.46                      45        PHARMACY
4506614   FAMOTIDINE TAB 20MG               12.47                      45        PHARMACY
4503348   FE SO4 220MG/5ML LI                9.13                      45        PHARMACY
4515532   FE SO4 300MG SUSP                  9.44                      45        PHARMACY



                                                      Page 83
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4503355   FE SO4 325 MG TABLE                9.07                      45        PHARMACY
4510962   FE SO4 DROPS                      27.48                      45        PHARMACY
4508008   FE SO4 TAB 160MG                   9.51                      45        PHARMACY
4508222   FENTANYL 100 MCG AMPULE           91.80                      45        PHARMACY
4512661   FENTANYL 100 MCG/HR PATC         142.50                      45        PHARMACY
4512612   FENTANYL 25 MCG/HR PATCH          51.62                      45        PHARMACY
4508230   FENTANYL 250 MCG VIAL            102.12                      45        PHARMACY
4512638   FENTANYL 50 MCG/HR PATCH          79.50                      45        PHARMACY
4515169   FENTANYL 500MCG VIAL              59.10                      45        PHARMACY
4512653   FENTANYL 75 MCG/HR PATCH         111.80                      45        PHARMACY
4513107   FENTANYL EPIDUR PAIN PUMP        126.50                      45        PHARMACY
4511648   FEXOFENADINE 60 MG CAP            12.39                      45        PHARMACY
4510459   FILGRASTIM 300MCG IJ             511.96                      45        PHARMACY
4511499   FILGRASTIM 480MCG IJ             794.34                      45        PHARMACY
4510251   FINASTERIDE 5MG PO                12.50                      45        PHARMACY
4503397   FIORICET TABLET                   10.27                      45        PHARMACY
4515052   FISH OIL                           9.15                      45        PHARMACY
4508495   FLECAINIDE 100MG                  15.81                      45        PHARMACY
4511978   FLEET PHOSPHO-SODA LIQUID         15.49                      45        PHARMACY
4503447   FLEET PREP KIT                    28.88                      45        PHARMACY
4503496   FLUCONAZOLE 100 MG TABLET         29.53                      45        PHARMACY
4503488   FLUCONAZOLE 200 MG VIAL          283.00                      45        PHARMACY
4514485   FLUCYTOSINE 250 MG CAP            15.50                      45        PHARMACY
4503462   FLUDROCORTISONE .1 MG TAB         10.47                      45        PHARMACY
4510426   FLUMAZENIL 0.1 MG/ML/1ML         233.26                      45        PHARMACY
4505871   FLUNISOLIDE NASAL SPRAY          131.08                      45        PHARMACY
4509998   FLUOCINONIDE .5%/60GM             65.42                      45        PHARMACY
4510004   FLUOCINONIDE 0.05% CR 15G         45.08                      45        PHARMACY
4503470   FLUORESCEIN                        9.51                      45        PHARMACY
4503504   FLUOROURACIL 500MG IJ             43.46                      45        PHARMACY
4513883   FLUOXETINE 10 MG TABLET           13.35                      45        PHARMACY
4513909   FLUOXETINE 20 MG CAPSULE          14.50                      45        PHARMACY
4507240   FLUPHENAZINE DECA 25MG IJ        175.50                      45        PHARMACY
4502340   FLURAZEPAM 15 MG CAPSULE          18.56                      45        PHARMACY
4506333   FLURBIPROFEN .03% OPTH            35.44                      45        PHARMACY
4513651   FLURESS OPTH SOLUTION             32.50                      45        PHARMACY
4511887   FLUTICASONE 110 MCG INHLR        234.64                      45        PHARMACY
4511762   FLUVASTATIN 20 MG CAPS            10.50                      45        PHARMACY
4503520   FOLIC ACID 1 MG TABLET             9.45                      45        PHARMACY
4503538   FOLIC ACID 5MG/ML VIAL            52.50                      45        PHARMACY
4505475   FOSINOPRIL 10MG TAB               11.99                      45        PHARMACY



                                                      Page 84
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


3800299   FULVESTRANT 25MG IJ              200.32                      38        PHARMACY
4504759   FUROSEMIDE 10 MG/ML SOLN          29.79                      45        PHARMACY
4504692   FUROSEMIDE 100 MG VIAL            40.54                      45        PHARMACY
4504700   FUROSEMIDE 20 MG TABLET            9.29                      45        PHARMACY
4504684   FUROSEMIDE 20MG IJ                37.74                      45        PHARMACY
4504718   FUROSEMIDE 40 MG TABLET            9.32                      45        PHARMACY
4504742   FUROSEMIDE 40 MG VIAL             38.84                      45        PHARMACY
4511861   GABAPENTIN 100MG CAP              10.43                      45        PHARMACY
4512562   GABAPENTIN 300 MG CAP             12.59                      45        PHARMACY
4512554   GABAPENTIN 400 MG CAP             10.50                      45        PHARMACY
4503645   GAVISCON CHEWABLE TAB              9.16                      45        PHARMACY
4511044   GAVISCON SUSPENSION                3.00                      45        PHARMACY
4504957   GEMFIBROZIL 600 MG TABLET         11.48                      45        PHARMACY
4511069   GENTAMICIN 20 MG VIAL             56.42                      45        PHARMACY
4503611   GENTAMICIN 80MG IJ                73.60                      45        PHARMACY
4503603   GENTAMICIN OPTH OINTMENT          57.32                      45        PHARMACY
4503595   GENTAMICIN OPTH SOLUTION          37.06                      45        PHARMACY
4514964   GLIMEPIRIDE 1MG TABLET             2.50                      45        PHARMACY
4514972   GLIMEPIRIDE 2MG TAB               10.43                      45        PHARMACY
4503660   GLIPIZIDE 5 MG TABLET              9.71                      45        PHARMACY
4511929   GLIPIZIDE 5 MG TABLET             10.01                      45        PHARMACY
4503652   GLUCAGON HCL 1MG IJ              198.46                      45        PHARMACY
4505335   GLYBURIDE 2.5 MG TABLET            9.60                      45        PHARMACY
4505343   GLYBURIDE 5 MG TABLET             10.36                      45        PHARMACY
4503686   GLYCERIN ADULT SUPPOSITOR          9.37                      45        PHARMACY
4503678   GLYCERIN PEDIATRIC SUPPOS          9.45                      45        PHARMACY
4513537   GLYCERIN SOLUTION                  5.50                      45        PHARMACY
4507687   GLYCOPYRROLATE 1MG VIAL           37.74                      45        PHARMACY
4511127   GONIOSOL OPTH SOL                 46.00                      45        PHARMACY
4514493   GUAIF/COD 100/10 5M               18.72                      45        PHARMACY
4507695   GUAIF/COD SYRUP                    2.50                      45        PHARMACY
4507711   GUAIF/COD/PSEUD                    2.50                      45        PHARMACY
4507729   GUAIF/DM SYRUP                     9.19                      45        PHARMACY
4507703   GUAIFENESIN 100MG/5ML SYR          9.15                      45        PHARMACY
4515573   GUAIFENESIN 100MG/5ML SYR          9.45                      45        PHARMACY
4508511   GUANFACINE 1 MG TAB               10.29                      45        PHARMACY
4503850   HALOPERIDOL 5MG IJ                50.94                      45        PHARMACY
4511143   HALOPERIDOL DECA 50MG IJ         317.50                      45        PHARMACY
4503819   HALOPERIDOL TAB 1MG                9.69                      45        PHARMACY
4503835   HALOPERIDOL TAB 2MG                8.00                      45        PHARMACY
4503843   HALOPERIDOL TAB 5MG               10.91                      45        PHARMACY



                                                      Page 85
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4503868   HCTZ 25 MG                         9.15                      45        PHARMACY
4503942   HEPARIN 10,000U                   17.50                      45        PHARMACY
4503934   HEPARIN 1000U IJ                  28.00                      45        PHARMACY
4513578   HEPARIN 25,000U/250ML             59.14                      45        PHARMACY
4503959   HEPARIN 5,000U                    20.56                      45        PHARMACY
4503926   HEPARIN LOCK 100U/ML VIAL         19.08                      45        PHARMACY
4503967   HETASTARCH 500ML                 103.62                      45        PHARMACY
4509642   HYALURONIDASE 150U IJ             95.96                      45        PHARMACY
4503991   HYCODAN 5-1.5MG/5ML SYRP          18.46                      45        PHARMACY
4500567   HYDRALAZINE 10 MG TAB              9.43                      45        PHARMACY
4500559   HYDRALAZINE 20MG IJ               73.46                      45        PHARMACY
4500575   HYDRALAZINE 25 MG TAB             10.01                      45        PHARMACY
4514832   HYDROCOD/APAP 325/10              20.18                      45        PHARMACY
4514535   HYDROCOD/APAP 500/7.5             19.00                      45        PHARMACY
4515334   HYDROCOD/APAP EMRG SCRPT          25.98                      45        PHARMACY
4503736   HYDROCORT 0.5% CRM                21.98                      45        PHARMACY
4503744   HYDROCORT 1% CRM                  23.48                      45        PHARMACY
4502142   HYDROCORT 100MGENEMA              42.22                      45        PHARMACY
4503751   HYDROCORT 2.5% CRM                39.98                      45        PHARMACY
4500468   HYDROCORT 2.5% CRM                85.86                      45        PHARMACY
4512885   HYDROCORT 20 MG TAB                9.41                      45        PHARMACY
4500526   HYDROCORT 25 MG SUPP              10.87                      45        PHARMACY
4508115   HYDROCORT NA SUC 100MG IJ         40.76                      45        PHARMACY
4503769   HYDROCORT ONT 1% OZ               23.48                      45        PHARMACY
4513032   HYDROMORPHONE 1MG/30MLPCA        112.50                      45        PHARMACY
4506416   HYDROMORPHONE 1MG/ML PCA         122.86                      45        PHARMACY
4502720   HYDROMORPHONE 2 MG IJ             56.60                      45        PHARMACY
4502738   HYDROMORPHONE 2 MG TAB            18.92                      45        PHARMACY
4504015   HYDROXYUREA 500MG PO              11.83                      45        PHARMACY
4509576   HYDROXYZINE HCL 100MG VL          38.54                      45        PHARMACY
4500708   HYDROXYZINE HCL 10MG TAB          10.23                      45        PHARMACY
4500716   HYDROXYZINE HCL 25MG TAB           9.91                      45        PHARMACY
4504783   HYOSCYAMNE 0.125MG TB              9.48                      45        PHARMACY
4509501   HYPROCOD/APAP 5-500MG TB          18.86                      45        PHARMACY
4515615   IBANDRONATE IJ 3MG SYR          1045.32                      45        PHARMACY
4504064   IBUPROFEN 100 MG/5ML SUSP         12.75                      45        PHARMACY
4514683   IBUPROFEN 200 MG TAB               9.15                      45        PHARMACY
4505558   IBUPROFEN 400MG                    9.59                      45        PHARMACY
4505566   IBUPROFEN 600 MG                   7.00                      45        PHARMACY
4503892   IG HEPATITIS B HUMAN IM          556.18                      45        PHARMACY
4503884   IG HEPATITIS B HUMAN IM         1797.70                      45        PHARMACY



                                                      Page 86
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4515128   IG IMMUNE GLOB 1CC IJ             52.00                      45        PHARMACY
3812922   IG IVIG LYOPHILIZD 500MG         244.00                      38        PHARMACY
4514527   IG RABIES IM/SUBCU               383.50                      45        PHARMACY
4510228   IG RABIES IM/SUBCU              1978.38                      45        PHARMACY
4508586   IG TETANUS 250 IU IJ             413.00                      45        PHARMACY
4507174   IMIPENEM/CILAST 50MG IV          146.76                      45        PHARMACY
4508917   IMIPRAMINE 25 MG TAB              10.73                      45        PHARMACY
4505046   INDAPAMIDE 2.5MG TAB              10.70                      45        PHARMACY
4504171   INDIGO CARMINE 40 MG AMP          53.96                      45        PHARMACY
4513388   INDINAVIR 400 MG CAPSULE          15.33                      45        PHARMACY
4504189   INDOMETHACIN 25MG CAP             10.08                      45        PHARMACY
3800109   INFLIXIMAB 10MG IJ               136.13                      38        PHARMACY
4515003   INSULIN GLARGIN V-100            186.40                      45        PHARMACY
4513628   INSULIN LENTE U-100 IJ           102.36                      45        PHARMACY
4512927   INSULIN LISPRO                   177.00                      45        PHARMACY
4513644   INSULIN NPH HUM U-100 IJ         105.16                      45        PHARMACY
4504239   INSULIN REG HUM                   13.00                      45        PHARMACY
4513669   INSULIN REG HUM U-100 IJ         105.16                      45        PHARMACY
4513602   INSULIN REG/NPH IJ               105.16                      45        PHARMACY
4513008   INSULIN ULTRA 10ML VIAL          102.36                      45        PHARMACY
4504270   IPECAC                            12.09                      45        PHARMACY
4510772   IPRATROPIUM 0.02% SVN SOL         11.63                      45        PHARMACY
4500831   IPRATROPIUM INHALER              175.38                      45        PHARMACY
4515383   IPRATROPIUM/ALBUTEROL 3ML         13.49                      45        PHARMACY
4504072   IRON DEXTRAN 50MG/ML2MLIJ        147.32                      45        PHARMACY
4504288   ISONIAZID 100MG                    9.24                      45        PHARMACY
4511010   ISOPROTERENOL .2MG 1MLAMP         30.50                      45        PHARMACY
4504395   ISOPROTERENOL 1:5000 5ML          43.56                      45        PHARMACY
4500617   ISOPTO TEARS OPTH SOL             60.00                      45        PHARMACY
4504346   ISOSORBIDE 10 MG TAB               9.35                      45        PHARMACY
4504353   ISOSORBIDE 20 MG TAB               9.44                      45        PHARMACY
4504361   ISOSORBIDE 40MG TAB                2.50                      45        PHARMACY
4504379   ISOSORBIDE 5MG TAB                 2.50                      45        PHARMACY
4511838   ISOSORBIDE 60MG TAB               11.71                      45        PHARMACY
4504387   ISOSORBIDE MONO 20 MG TAB         12.56                      45        PHARMACY
4514519   ISOSULFAN BLUE 1% 5ML INJ        299.50                      45        PHARMACY
4515029   K ACET                            19.24                      45        PHARMACY
4504437   K BICARB 25MEQ EFFER TB            9.66                      45        PHARMACY
4504403   K CL 10 MEQ ER CAP                 9.75                      45        PHARMACY
4514287   K CL 10MEQ/WATER 50ML             57.98                      45        PHARMACY
4506978   K CL 20 MEG VIAL                  18.86                      45        PHARMACY



                                                      Page 87
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4504494   K CL 20% SOL                       9.63                      45        PHARMACY
4506986   K CL 40MEQ VIAL                   18.88                      45        PHARMACY
4515581   K CL ORAL SOL 40MEQ/15ML           9.49                      45        PHARMACY
4508172   K IODIDE ORAL SOLUTION            42.18                      45        PHARMACY
4506960   K PHOS 15MM VIAL                  19.24                      45        PHARMACY
4504460   KAOLIN-PECTIN SUSPENSION           9.85                      45        PHARMACY
4504569   KETAMINE 50MG 10CC                86.44                      45        PHARMACY
4510517   KETOROLAC 30 MG VIAL              45.96                      45        PHARMACY
4508966   KETOROLAC 60 MG VIAL              35.50                      45        PHARMACY
4504627   LABETALOL 100 MG VIAL             82.92                      45        PHARMACY
4506192   LABETALOL TB 100MG                 9.95                      45        PHARMACY
4513065   LACTASE 20 MG TAB                  2.50                      45        PHARMACY
4513156   LACTATED RINGERS 1000             42.50                      45        PHARMACY
4513172   LACTATED RINGERS 500              43.00                      45        PHARMACY
4504643   LACTOBACILLUS 1G PACKET           10.79                      45        PHARMACY
4501763   LACTULOSE 10GM/15ML               11.16                      45        PHARMACY
4515557   LACTULOSE 20GM/30ML               11.97                      45        PHARMACY
4513511   LAMIVUDINE 150 MG TAB             21.19                      45        PHARMACY
4504650   LANOLIN TOPICAL                   22.58                      45        PHARMACY
4512646   LANSOPRAZOLE 30 MG PO             19.25                      45        PHARMACY
4512430   LANSOPRAZOLE CAPSULE 15MG         16.50                      45        PHARMACY
4514014   LATANOPROST                      146.72                      45        PHARMACY
4514451   LET SOL 1 DOSE                    34.50                      45        PHARMACY
4509873   LEVOBUNOLOL 0.5% OPTH SOL         51.26                      45        PHARMACY
4515045   LEVOFLOX 500MG/100ML D5W         145.26                      45        PHARMACY
4515250   LEVOFLOXACIN 250MG TABLET         30.43                      45        PHARMACY
4512299   LEVOFLOXACIN 500 MG TAB           29.50                      45        PHARMACY
4512315   LEVOFLOXACIN 500 MG VIAL         163.22                      45        PHARMACY
4514808   LEVONORGESTREL TABLETS            72.51                      45        PHARMACY
4510269   LEVOTHYROXINE .125 MG TAB          7.00                      45        PHARMACY
4508388   LEVOTHYROXINE 0.05 MG TAB          7.00                      45        PHARMACY
4508404   LEVOTHYROXINE 0.15MG TAB           7.00                      45        PHARMACY
4508396   LEVOTHYROXINE 0.1MG TAB            7.00                      45        PHARMACY
4510657   LEVOTHYROXINE 0.2 MG IJ          127.50                      45        PHARMACY
4515268   LEVOTHYROXINE 25MCG TAB            9.43                      45        PHARMACY
4514824   LEVOTHYROXINE 500 MCG INJ         49.50                      45        PHARMACY
4513073   LIDO/DEXTROSE 2GM/500ML           75.50                      45        PHARMACY
4511036   LIDO/DEXTROSE 5-7.5% 2ML          20.00                      45        PHARMACY
4514055   LIDO/EPI 2% VIAL                  39.42                      45        PHARMACY
4504916   LIDOCAINE 1% VIAL                 37.12                      45        PHARMACY
4504841   LIDOCAINE 2% 100MG SYR            43.26                      45        PHARMACY



                                                      Page 88
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4509287   LIDOCAINE 2% JELLY UROJET         25.01                      45        PHARMACY
4509709   LIDOCAINE 2% U/D                  11.51                      45        PHARMACY
4513115   LIDOCAINE 2% VIAL                 38.06                      45        PHARMACY
4513099   LIDOCAINE 2% VISCOUS              17.50                      45        PHARMACY
4515227   LIDOCAINE 4% CREAM                66.94                      45        PHARMACY
4513131   LIDOCAINE 4% SOLUTION             36.30                      45        PHARMACY
4514030   LIDOCAINE EPI 1% VIAL             38.72                      45        PHARMACY
4509683   LIDOCAINE JEL 2%                  59.24                      45        PHARMACY
4511234   LIDOCAINE MPF 0.5% 50 ML          32.00                      45        PHARMACY
4514071   LIDOCAINE MPF 2% AMPULE           38.06                      45        PHARMACY
4514618   LINEZOLID 600 MG TAB             151.03                      45        PHARMACY
3800133   LINEZOLID/200MG IJ                72.65                      38        PHARMACY
4502266   LIOTHYRONINE 5 MCG TABLET         10.41                      45        PHARMACY
4515367   LISINOPRIL 20MG TABLET            11.13                      45        PHARMACY
4504890   LISINOPRIL 5 MG TAB               10.96                      45        PHARMACY
4504874   LISINOPRIL TB 10MG                 6.00                      45        PHARMACY
4504908   LITHIUM 300MG CAP                  9.41                      45        PHARMACY
4504932   LOMOTIL 2.5/5ML SOL               10.35                      45        PHARMACY
4504940   LOMOTIL TA                         9.95                      45        PHARMACY
4504098   LOPERAMIDE 2 MG CAP               10.40                      45        PHARMACY
4500724   LORAZEPAM 0.5 MG TAB              17.80                      45        PHARMACY
4514840   LORAZEPAM 1 MG TAB                19.80                      45        PHARMACY
4500740   LORAZEPAM 2 MG VIAL               57.68                      45        PHARMACY
4511796   LOSARTAN 25 MG TABLET             12.37                      45        PHARMACY
4505285   LOVASTATIN 20MG TAB               13.73                      45        PHARMACY
4514402   LUNELLE 0.5ML VIAL                92.00                      45        PHARMACY
4513198   MAG ALOH HYD SUSPENSION           10.61                      45        PHARMACY
4513214   MAG ALOH SIMETH ES SUSP            7.50                      45        PHARMACY
4501896   MAG CIT SOLU                      20.76                      45        PHARMACY
4508024   MAG CL ER TABLET                   2.50                      45        PHARMACY
4500476   MAG HYDROXIDE SUSP                 9.23                      45        PHARMACY
4513735   MAG HYDROXIDE SUSPENSN             9.97                      45        PHARMACY
4514543   MAG OXIDE 500 MG TAB               9.07                      45        PHARMACY
4505079   MAG SO4 1 GRAMVIAL                37.14                      45        PHARMACY
4513230   MAG SO4 20GM/500ML                59.12                      45        PHARMACY
4505087   MAG SO4 5GRAM VIAL                37.84                      45        PHARMACY
4505095   MANNITOL 25% 12.5 GM VIAL         42.84                      45        PHARMACY
4514204   MANNITOL SORB IRRIG.              65.50                      45        PHARMACY
4505111   MAXITROL OPH OINT                 53.98                      45        PHARMACY
4515417   MCT OIL                           36.90                      45        PHARMACY
4500492   MECLIZINE 25 MG TAB                9.34                      45        PHARMACY



                                                      Page 89
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4507422   MEDROXYPROGEST 2.5MG               9.59                      45        PHARMACY
4512224   MEGESTROL 40MG/M/SUS              22.32                      45        PHARMACY
4505194   MEPERIDINE 100MGCARPUJECT         54.15                      45        PHARMACY
4513123   MEPERIDINE 25MG CARPUJECT         56.04                      45        PHARMACY
4513164   MEPERIDINE 50MG CARPUJECT         56.14                      45        PHARMACY
4513149   MEPERIDINE 50MG/ML1ML AMP         17.50                      45        PHARMACY
4513180   MEPERIDINE 75MG CARPUJECT         56.14                      45        PHARMACY
4505202   MEPERIDINE TAB 50M                19.37                      45        PHARMACY
4515524   MEPIVACAINE 1%                    46.18                      45        PHARMACY
4513826   MEPIVACAINE 1.5% VIAL             59.02                      45        PHARMACY
4513842   MEPIVACAINE 2% VIAL               54.84                      45        PHARMACY
4511754   MESALAMINE 400 MG TABLET          11.33                      45        PHARMACY
4511747   MESALAMINE 500MG SUPP              6.00                      45        PHARMACY
4510707   METAPROTERENOL 5% SVNSOL         104.00                      45        PHARMACY
4500237   METAPROTERENOL INHALER            82.85                      45        PHARMACY
4510749   METARAMINOL 100 MG VIAL           17.50                      45        PHARMACY
4510640   METFORMIN 500 MG TABLET           10.39                      45        PHARMACY
4512778   METFORMIN 850 MG PO               11.25                      45        PHARMACY
4511093   METHACHOLINE 500MG VIAL           93.50                      45        PHARMACY
4505244   METHADONE 5MG PO                  18.85                      45        PHARMACY
4506002   METHAZOLAMIDE 25 MG TAB           10.15                      45        PHARMACY
4507661   METHOCARBAMOL 10ML IJ             70.92                      45        PHARMACY
4514857   METHOCARBAMOL 500 MG TAB           9.73                      45        PHARMACY
4507679   METHOCARBAMOL 750 MG TAB           9.93                      45        PHARMACY
4501250   METHOHEXITAL 500 MG VIAL         118.46                      45        PHARMACY
4500187   METHYLDOPA 250 MG TAB              9.73                      45        PHARMACY
4500203   METHYLDOPATE 250MG IJ             75.80                      45        PHARMACY
4505277   METHYLENE BLUE INJ 1%             58.82                      45        PHARMACY
4505269   METHYLERGONOVIN TAB 0.2           11.01                      45        PHARMACY
4505251   METHYLERGONOVINE 0.2MG IJ         41.54                      45        PHARMACY
4508123   METHYLPRED 1GM VIAL              116.34                      45        PHARMACY
4514188   METHYLPRED 500 MG VIAL            59.24                      45        PHARMACY
4502480   METHYLPRED 80MG VIAL              63.94                      45        PHARMACY
4502498   METHYLPRED INJ 40                 43.50                      45        PHARMACY
4514576   METHYLPRED INJ 40MG               57.00                      45        PHARMACY
4514162   METHYLPRED SUCC 125MG IJ          44.24                      45        PHARMACY
4507570   METOCLOPRAMIDE 10 MG TAB           9.57                      45        PHARMACY
4507554   METOCLOPRAMIDE 10MG IJ            37.72                      45        PHARMACY
4507562   METOCLOPRAMIDE 1MG/ML SOL          9.41                      45        PHARMACY
4502803   METOLAZONE 5 MG TAB               11.95                      45        PHARMACY
4504973   METOPROLOL 5 MG AMPULE            40.76                      45        PHARMACY



                                                      Page 90
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4504981   METOPROLOL 50 MG TAB               9.95                      45        PHARMACY
4514626   METOPROLOL XL 50MG TAB            10.93                      45        PHARMACY
4503421   METRONIDAZOLE 250 MG TAB           9.89                      45        PHARMACY
4503439   METRONIDAZOLE 500 MG TAB           8.50                      45        PHARMACY
4503413   METRONIDAZOLE 500MG IJ            42.08                      45        PHARMACY
4505491   MICONAZOLE-7 VAG CRM              32.98                      45        PHARMACY
4505509   MICONAZOLE-7 VAG SUPPOS           32.97                      45        PHARMACY
4511531   MIDAZOLAM 10MG HIDOSE             24.00                      45        PHARMACY
4509436   MIDAZOLAM 2 MG VIAL               55.42                      45        PHARMACY
4509444   MIDAZOLAM 5 MG VIAL               57.40                      45        PHARMACY
4515664   MIDAZOLAM 50MG/10ML               99.92                      45        PHARMACY
4512331   MIDAZOLAM SYR 2MG/ML/1ML          29.24                      45        PHARMACY
4515706   MIDODRINE 5MG TABLET              14.70                      45        PHARMACY
4505368   MINERAL OIL                       15.37                      45        PHARMACY
4515318   MIRALAX 17 GRAM PACKET            13.21                      45        PHARMACY
4515102   MIRTAZAPINE 15MG TABLET           14.43                      45        PHARMACY
4510574   MISC ENT DRUG                                                45        PHARMACY
4510566   MISC O/P RX                                                  45        PHARMACY
4510533   MISC ORAL LIQUID                                             45        PHARMACY
4514311   MISC ORAL SOLID                                              45        PHARMACY
4510541   MISC TOPICAL/RECTAL                                          45        PHARMACY
4502290   MISOPROSTOL 100 MCG TAB           10.63                      45        PHARMACY
4505434   MIVACURIUM VIAL 20 MG             67.19                      45        PHARMACY
4512323   MONTELUKAST 5 MG TAB              15.87                      45        PHARMACY
4514782   MORPHINE 1 MG/ML 30ML             66.00                      45        PHARMACY
4513750   MORPHINE 10 MG CARPUJECT          54.20                      45        PHARMACY
4513776   MORPHINE 100MG/D5W100             90.00                      45        PHARMACY
4513255   MORPHINE 10MG/ML100ML PCA         95.00                      45        PHARMACY
4505533   MORPHINE 2MG CARUPJECT            54.37                      45        PHARMACY
4505541   MORPHINE 4MG CARPUJECT            54.39                      45        PHARMACY
4515276   MORPHINE 5MG/ML 30ML PCA          88.02                      45        PHARMACY
4513081   MORPHINE EPIDUR PAIN PMP         111.00                      45        PHARMACY
4502951   MORPHINE PF 10MG IJ               69.00                      45        PHARMACY
4505517   MORPHINE SOL 20MG                 55.18                      45        PHARMACY
4512448   MORPHINE SR 100MG TAB             17.50                      45        PHARMACY
4512711   MORPHINE SR 15MG TAB              19.76                      45        PHARMACY
4515458   MORPHINE SR 20MG CAP              20.76                      45        PHARMACY
4515466   MORPHINE SR 30MG CAP              21.27                      45        PHARMACY
4511242   MORPHINE SR 30MG TAB              21.30                      45        PHARMACY
4511564   MORPHINE SR 60MG TAB               4.00                      45        PHARMACY
4511135   MORRHUATE NA 5% VIAL 30ML        167.50                      45        PHARMACY



                                                      Page 91
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4515490   MOXIFLOXACIN 0.5% SOLN           127.72                      45        PHARMACY
4510632   MUPIROCIN 2% OINTMENT            107.68                      45        PHARMACY
4505608   MVI LIQUID                         9.78                      45        PHARMACY
4507133   MVI PRENATAL TAB PO                9.09                      45        PHARMACY
4508719   MVI THERAPEUTIC                    9.19                      45        PHARMACY
4503389   MVI/FE 500 MG TABLET               3.00                      45        PHARMACY
4508701   MVI/MIN TAB                        9.19                      45        PHARMACY
4505624   MVI-12 INJECTION VIALS            37.34                      45        PHARMACY
4514063   NA ACET 40 MEQ VIAL               22.72                      45        PHARMACY
4508057   NA BICARB 4.2% 5 MEQ SYR          42.22                      45        PHARMACY
4514089   NA BICARB 5% 500MLBOTTLE          67.68                      45        PHARMACY
4511424   NA BICARB 650MG TAB                9.13                      45        PHARMACY
4508032   NA BICARB 8.4% 50MEQ SYR          42.24                      45        PHARMACY
4508040   NA BICARB 8.4% 50ML VIAL          22.56                      45        PHARMACY
4513891   NA CL 0.45% 1000ML                42.00                      45        PHARMACY
4513917   NA CL 0.45% 500ML                 51.50                      45        PHARMACY
4511333   NA CL 0.9%                        19.18                      45        PHARMACY
4513859   NA CL 0.9% 1000ML                 43.00                      45        PHARMACY
4513875   NA CL 0.9% 100ML                   8.50                      45        PHARMACY
4513933   NA CL 0.9% 150ML                   3.00                      45        PHARMACY
4513727   NA CL 0.9% 250ML                   9.50                      45        PHARMACY
4513867   NA CL 0.9% 500ML                  41.50                      45        PHARMACY
4513768   NA CL 0.9% 50ML                    4.50                      45        PHARMACY
4514022   NA CL 0.9% IRRIG 1000 ML          42.50                      45        PHARMACY
4514048   NA CL 0.9% IRRIG 3000 ML          71.50                      45        PHARMACY
4515193   NA CL 1000ML/KCL 20               56.46                      45        PHARMACY
4514105   NA CL 23.4% VIAL                  20.86                      45        PHARMACY
4514196   NA CL 5% 500ML                    65.64                      45        PHARMACY
4511192   NA CL NASAL STRAY                 21.04                      45        PHARMACY
4511960   NA PHOS                           19.66                      45        PHARMACY
4514121   NA PHOS 15 ML VL                  19.66                      45        PHARMACY
4514147   NA THIOSULFATE 25%50ML VL         83.50                      45        PHARMACY
4507612   NABUMETONE 500MG TAB              11.75                      45        PHARMACY
4502126   NADOLOL 20 MG TABLET              10.83                      45        PHARMACY
4506291   NALBUPHINE 10MG IJ                37.18                      45        PHARMACY
4505848   NALOXONE 0.4MG AMP                37.12                      45        PHARMACY
4510327   NALOXONE 2MG AMP                  83.94                      45        PHARMACY
4500120   NAPHAZOLONE SOL 15ML              21.00                      45        PHARMACY
4505814   NAPROXEN 250 MG TABLET            10.59                      45        PHARMACY
4513016   NEFAZODONE 100 MG TAB             12.07                      45        PHARMACY
4511226   NEO/POLY/GRAM OPTH SOLN           78.04                      45        PHARMACY



                                                      Page 92
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4502183   NEO/POLY/HC OTIC                  79.58                      45        PHARMACY
4511150   NEOMYCIN 500MG TAB                12.95                      45        PHARMACY
4505129   NEOMYCN/DEXAMTH OPTH SUSP         33.98                      45        PHARMACY
4510145   NEOSPORIN GU IRRIG                67.37                      45        PHARMACY
4505939   NEOSPORIN OINT                    25.40                      45        PHARMACY
4511176   NEOSPORIN OINTMENT                 9.53                      45        PHARMACY
4505947   NEOSPORIN OPTH OINT               37.04                      45        PHARMACY
4507331   NEOSTIGMINE 10 MG VIAL            45.96                      45        PHARMACY
4507349   NEOSTIGMINE 15MG                  10.25                      45        PHARMACY
3800372   NESIRITIDE 0.1 MG IJ             100.34                      38        PHARMACY
4512752   NEUTRA-PHOS PACKETS               10.09                      45        PHARMACY
4512125   NIACIN 500 MG TAB                  9.07                      45        PHARMACY
4513834   NICOTINE PATCHES RX               13.25                      45        PHARMACY
4513024   NICOTINE PATCHES RX               15.69                      45        PHARMACY
4506044   NICOTINE PATCHES RX               14.03                      45        PHARMACY
4507224   NIFEDIPINE 10 MG CAP              10.51                      45        PHARMACY
4507216   NIFEDIPINE 30 MG ER TAB           11.29                      45        PHARMACY
4505061   NITROFURANTOIN 50 MG CAP           4.50                      45        PHARMACY
4505053   NITROFURANTOIN SR 100MG C         14.08                      45        PHARMACY
4506051   NITROPRUSSIDE 50 MG VIAL          86.82                      45        PHARMACY
4504775   NOREPINEPHRINE 4MG AMP            49.24                      45        PHARMACY
4509055   NTG .2 MG/HRPCH                   12.23                      45        PHARMACY
4509022   NTG .4MG/HR PCH                   12.69                      45        PHARMACY
4506127   NTG 0.4 MG TAB                     9.49                      45        PHARMACY
4513800   NTG 50 MG VIAL                    49.96                      45        PHARMACY
4509113   NTG 50MG/D5W 250ML                67.94                      45        PHARMACY
4506093   NTG CAP 2.5MG                      2.50                      45        PHARMACY
4506101   NTG CAP 6.5MG                      2.50                      45        PHARMACY
4506119   NTG OINT 2%                       10.45                      45        PHARMACY
4506077   NTG PUMPSPRAY                      9.73                      45        PHARMACY
4506325   NYSTATIN CREAM                    32.22                      45        PHARMACY
4514378   NYSTATIN OINTMENT                 32.22                      45        PHARMACY
4505756   NYSTATIN ORAL SUSPENSION          11.81                      45        PHARMACY
4505731   NYSTATIN TOPICAL POWDER           90.90                      45        PHARMACY
4505749   NYSTATIN VAGINAL SUPPOS           47.50                      45        PHARMACY
4505665   NYSTATIN/TRIAMC CR                27.18                      45        PHARMACY
3800265   OCTREOTIDE NON DEPO 25MCG         60.34                      38        PHARMACY
4512786   OLANZAPINE 5 MG TAB               24.27                      45        PHARMACY
4515623   OLANZAPINE ZYPREXA 10MG           60.87                      45        PHARMACY
4515631   OLANZAPINE ZYPREXA 5MG TB         17.98                      45        PHARMACY
4504999   OMEPRAZOLE 20 MG CAP              17.00                      45        PHARMACY



                                                      Page 93
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4511705   ONDANSETRON 4MG                   89.38                      45        PHARMACY
4505806   OXACILLIN 2 GM IV                105.42                      45        PHARMACY
4505798   OXACILLIN IGM IV                  89.20                      45        PHARMACY
4515409   OXCARBAZEPINE 150MG TAB           11.79                      45        PHARMACY
4502787   OXYBUTYNIN 5 MG TAB               10.09                      45        PHARMACY
4515284   OXYCODONE 5MG TABLET              18.80                      45        PHARMACY
4515441   OXYCODONE CR 20MG TAB             21.63                      45        PHARMACY
4512802   OXYCODONE SR 10 MG TAB            16.50                      45        PHARMACY
4512810   OXYCODONE SR 20 MG TAB            19.50                      45        PHARMACY
4500112   OXYMETAZOLINE NASAL SPRAY         24.59                      45        PHARMACY
4506887   OXYTOCIN 10U IJ                   27.36                      45        PHARMACY
3810686   PAMIDRONATE/30MG IJ              571.72                      38        PHARMACY
4515300   PANAFIL                          193.98                      45        PHARMACY
4506424   PANCREASE TAB                      9.77                      45        PHARMACY
4506457   PANCURONIUM 10 MG VIAL            39.78                      45        PHARMACY
4512794   PANTOPRAZOLE 40 MG TAB            17.15                      45        PHARMACY
4514303   PANTOPRAZOLE/VIAL IJ             131.92                      45        PHARMACY
4506465   PAROXETINE 20MG TAB               14.57                      45        PHARMACY
4515698   PCK G BENZ 600,000U IJ            94.72                      45        PHARMACY
4506531   PCN G K 5 MILL U VIAL            156.28                      45        PHARMACY
4506572   PCN V K 125/5ML SUP               22.94                      45        PHARMACY
4506556   PCN V K 250MG TAB                  9.45                      45        PHARMACY
4506564   PCN V K 500MG TAB                  3.00                      45        PHARMACY
3800281   PEGFILGRASTIM 6MG IJ            6738.46                      38        PHARMACY
4510871   PENICILLAMINE 250 MG CAP           9.00                      45        PHARMACY
4508487   PENTAZOC/NALOX 50 MG TAB          15.00                      45        PHARMACY
4508479   PENTAZOCINE INJ 60MG/2ML          17.50                      45        PHARMACY
4509097   PENTOXIFYLLINE 400MG CRTB         10.31                      45        PHARMACY
4514709   PERMETHRIN 5% CREAM               76.28                      45        PHARMACY
4514717   PERMETHRIN RINSE 1% LIQ           32.16                      45        PHARMACY
4512828   PERPHENAZINE 4MG PO               10.87                      45        PHARMACY
4507455   PHENAZOPYRIDINE 100MG TAB         10.51                      45        PHARMACY
4506804   PHENOBARBITAL 130MG IJ VL         58.00                      45        PHARMACY
4511309   PHENOBARBITAL 15MG TAB            18.07                      45        PHARMACY
4515599   PHENOBARBITAL 20MG/5ML            18.42                      45        PHARMACY
4506812   PHENOBARBITAL ELX20MG/5ML         18.16                      45        PHARMACY
4515243   PHENTOLAMINE 5 MG IJ             101.50                      45        PHARMACY
4505996   PHENYLEPHRINE 10 MG VIAL          37.66                      45        PHARMACY
4513248   PHENYLEPHRINE 10%OPTH SOL         31.38                      45        PHARMACY
4505905   PHENYLEPHRINE 2.5%OPTHSOL         43.74                      45        PHARMACY
4505954   PHENYLEPHRINE NOSE .25%           25.32                      45        PHARMACY



                                                      Page 94
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4505962   PHENYLEPHRINE NOSE 0.5%           25.32                      45        PHARMACY
4505988   PHENYLEPHRINE NOSE 1%             30.36                      45        PHARMACY
4502688   PHENYTOIN 100 MG CAPSULE           9.75                      45        PHARMACY
4502696   PHENYTOIN 100 MG VIAL             43.86                      45        PHARMACY
4502704   PHENYTOIN 125 MG/5 ML SUS         10.87                      45        PHARMACY
4502712   PHENYTOIN 250MG VIAL              45.34                      45        PHARMACY
4515516   PHENYTOIN SUSP 100MG/ML           11.29                      45        PHARMACY
4511812   PHOSPHORUS NEUTRAL TAB             9.33                      45        PHARMACY
4500484   PHYSOSTIGMINE 2MG AMP             45.68                      45        PHARMACY
4503280   PHYSOSTIGMINE OPTH OINT           22.50                      45        PHARMACY
4500609   PHYTONADIONE 10MG AMP             48.94                      45        PHARMACY
4500591   PHYTONADIONE 1MG IJ               42.74                      45        PHARMACY
4512372   PHYTONADIONE 5MG TAB              10.29                      45        PHARMACY
4510152   PILOCARPINE 0.5% OPTH             31.22                      45        PHARMACY
4506853   PILOCARPINE 1%                    36.40                      45        PHARMACY
4510186   PILOCARPINE 2% OPTH               41.58                      45        PHARMACY
4512844   PILOCARPINE 3% OPTH SOL           24.50                      45        PHARMACY
4510160   PILOCARPINE 4% OPTH               40.28                      45        PHARMACY
4510178   PILOCARPINE 6% OPTH               44.38                      45        PHARMACY
4509543   PINDOLOL 5MG TAB                  10.45                      45        PHARMACY
4511515   PINK BISMUTH CHEWABLE TAB          9.23                      45        PHARMACY
4506648   PINK BISMUTH SUSPENSION            9.64                      45        PHARMACY
4514998   PIOGLITAZONE 15MG TAB             16.81                      45        PHARMACY
4511275   PLAQUENIL 200MG                   11.33                      45        PHARMACY
4506937   POLYMYXIN B 500,000U VIAL        100.68                      45        PHARMACY
4504478   POLYSTYRENE 30GM ENEM             34.00                      45        PHARMACY
4513966   POLYSTYRENE SUS                   20.99                      45        PHARMACY
4515607   POLYSTYRENE SUSP15GM/60ML         14.99                      45        PHARMACY
4511366   PRALIDOXIME 1GM IJ               266.50                      45        PHARMACY
4511416   PRAVASTATIN 20MG TAB              15.97                      45        PHARMACY
4505376   PRAZOSIN 1 MG CAP                  9.58                      45        PHARMACY
4507018   PREDNISOLONE 1% OPTH SUSP         43.18                      45        PHARMACY
4511937   PREDNISOLONE 15MG/ML SOLN         51.50                      45        PHARMACY
4507000   PREDNISONE 1 MG/ML SOLN           10.65                      45        PHARMACY
4507042   PREDNISONE 5MG PO                  9.17                      45        PHARMACY
4507026   PREDNISONE TAB 10MG                7.00                      45        PHARMACY
4507034   PREDNISONE TAB 20MG                9.27                      45        PHARMACY
4512349   PREVEN EC KIT                     60.00                      45        PHARMACY
4511739   PRIMIDONE 250MG TAB                8.50                      45        PHARMACY
4514501   PRIMIDONE 50 MG TAB                9.79                      45        PHARMACY
4501037   PROBENECID 500 MG TAB             11.80                      45        PHARMACY



                                                      Page 95
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4507281   PROCAINAMIDE 1GM IJ               41.38                      45        PHARMACY
4507299   PROCAINAMIDE 250MG CAP            10.65                      45        PHARMACY
4507190   PROCAINAMIDE 500MG TAB            10.59                      45        PHARMACY
4511721   PROCAINAMIDE SR                   11.39                      45        PHARMACY
4502068   PROCHLORPERAZIN 25MG SUP          15.53                      45        PHARMACY
4512992   PROCHLORPERAZIN MG/2M/INJ         55.08                      45        PHARMACY
4502100   PROCHLORPERAZINE 10MG IJ          55.08                      45        PHARMACY
4502092   PROCHLORPERAZINE 5MG PO           10.21                      45        PHARMACY
4514337   PROMETH/COD 6.25-10SYP UD         20.00                      45        PHARMACY
4506713   PROMETH/COD SYRUP                 19.99                      45        PHARMACY
4506721   PROMETHAZINE 25 MG AMP            40.74                      45        PHARMACY
4506770   PROMETHAZINE 25MG TAB             10.01                      45        PHARMACY
4506796   PROMETHAZINE 50 MG IJ             41.96                      45        PHARMACY
4506754   PROMETHAZINE 50 MG SUPP           19.05                      45        PHARMACY
4506762   PROMETHAZINE 6.25/5ML SYR         32.68                      45        PHARMACY
4506739   PROMETHAZINE SUP 12.5 MG          16.53                      45        PHARMACY
4506747   PROMETHAZINE SUPP 25M             17.65                      45        PHARMACY
4510236   PROPAFENONE 150MG TAB             12.35                      45        PHARMACY
4510699   PROPARACINE 0.5% OPTH SOL         35.30                      45        PHARMACY
4502753   PROPOFOL 1 GRAM VIAL             248.62                      45        PHARMACY
4510921   PROPOFOL 200 MG VIAL              66.36                      45        PHARMACY
4514865   PROPRANOLOL 10 MG TAB              9.43                      45        PHARMACY
4504122   PROPRANOLOL 1MG IJ                73.08                      45        PHARMACY
4504163   PROPRANOLOL 40 MG TAB             10.37                      45        PHARMACY
4511341   PROPYLTHIOURACL 50MG TAB           9.31                      45        PHARMACY
4507364   PROTAMINE 25MG VIAL               75.94                      45        PHARMACY
3800125   PROTEINASE INHB 10MG IJ           12.06                      38        PHARMACY
4511846   PROTEINASE INHB 10MG IJ          321.00                      45        PHARMACY
4500070   PSEUD/TRIP 1.25-30/5MLSYR         20.06                      45        PHARMACY
4500088   PSEUD/TRIP TAB                    10.56                      45        PHARMACY
4508263   PSEUDOEPHEDRINE 30 MG TAB          9.05                      45        PHARMACY
4508271   PSEUDOEPHEDRINE 60MG TAB           2.50                      45        PHARMACY
4508248   PSEUDOEPHEDRINE30MG/5MLLQ          9.19                      45        PHARMACY
4505236   PSYLLIUM PACKET                    9.85                      45        PHARMACY
4507448   PYRAZINAMIDE 500MG                11.25                      45        PHARMACY
4505228   PYRIDOSTIGMINE TAB 60MG           10.19                      45        PHARMACY
4507489   PYRIDOXINE 50MG TB                 9.07                      45        PHARMACY
4507471   PYRIDOXINE HCL 100 MG IJ          47.06                      45        PHARMACY
4514436   QUETIAPINE 100 MG TAB             16.31                      45        PHARMACY
4514469   QUETIAPINE 25 MG TAB              13.25                      45        PHARMACY
4510590   QUINAPRIL 20MG TAB                11.85                      45        PHARMACY



                                                      Page 96
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4512570   QUINAPRIL 5 MG TABLET             12.01                      45        PHARMACY
4507505   QUINIDINE GLUC 324MG TAB          10.87                      45        PHARMACY
4507539   QUINIDINE SO4 200MG TAB            9.41                      45        PHARMACY
4507521   QUINIDINE SO4 300MG TAB            9.77                      45        PHARMACY
4507513   QUINIDINE SO4 300MG TAB           10.75                      45        PHARMACY
4507547   QUININE SO4 325MG CAP             10.55                      45        PHARMACY
4511382   RACEPINEPHRINE SVN SOL             6.00                      45        PHARMACY
4511598   RAMIPRIL 2.5 MG CAPSULE           12.23                      45        PHARMACY
4507653   RIFAMPIN 300MG CAP                12.93                      45        PHARMACY
4512935   RISEDRONATE 5 MG TABLET           14.73                      45        PHARMACY
4515094   RISPERIDONE 0.5MG TABLET          16.55                      45        PHARMACY
4507778   ROCURONIUM 50 MG VIAL             69.24                      45        PHARMACY
4514444   ROFECOXIB 25 MG TAB               13.00                      45        PHARMACY
4515722   ROPIVACAINE 0.2% 100ML            83.81                      45        PHARMACY
4515730   ROPIVACAINE 0.2% 20ML             53.26                      45        PHARMACY
4515656   ROPIVACAINE 1MG IJ                49.90                      45        PHARMACY
4512703   ROSIGLITAZONE 4 MG TABLET         15.87                      45        PHARMACY
4510715   S NSTRL AMMONIA INHAL AMP          9.69                      45        PHARMACY
4513453   S STRL EVAC BOTTLE 1000ML         40.00                      45        PHARMACY
4513438   S STRL EVAC BOTTLE 250ML          38.50                      45        PHARMACY
4512059   S STRL TALC 5GMS                 167.50                      45        PHARMACY
4514006   SALMETEROL INHALER               155.55                      45        PHARMACY
4504320   SCOPOLAMINE .25 OPTH SOL          64.12                      45        PHARMACY
4509014   SCOPOLAMINE 1.5MG PTCH            26.29                      45        PHARMACY
4503082   SELEGILINE 5 MG TAB               13.19                      45        PHARMACY
4511291   SELENIUM SULFID 2.5% LOTI         40.78                      45        PHARMACY
4507828   SENNA TAB                          9.09                      45        PHARMACY
4509782   SERTRALINE 50MG TAB               15.03                      45        PHARMACY
4507901   SILV SULFADIAZN 1% CREAM          34.50                      45        PHARMACY
4507893   SILV SULFADIAZN 1% CRM 40         88.12                      45        PHARMACY
4500625   SILVER NIT APPLICATOR              9.22                      45        PHARMACY
4505772   SIMETHICONE 40MG/.6MLDRPS         25.16                      45        PHARMACY
4505780   SIMETHICONE 80MG CHEWTAB           9.35                      45        PHARMACY
4509774   SIMVASTATIN 10MG TAB              14.93                      45        PHARMACY
4507927   SINEMET 10-100                    10.41                      45        PHARMACY
4507935   SINEMET 25-100                    11.65                      45        PHARMACY
4507943   SINEMET 25-250                    10.95                      45        PHARMACY
4515680   SODIUM CITRATE CITRIC ACD          9.60                      45        PHARMACY
4511580   SORBITOL SOL 70%                  15.00                      45        PHARMACY
4508164   SOTALOL 80 MG TABLET              15.39                      45        PHARMACY
4500161   SPIRONOLACTONE 25MG TAB            9.85                      45        PHARMACY



                                                      Page 97
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4507497   SUCCINYLCHOLINE 200 MG            41.78                      45        PHARMACY
4512679   SUCRALFATE 1 GM/10 ML SUS         11.57                      45        PHARMACY
4501490   SUCRALFATE 1 GRAM TAB             10.35                      45        PHARMACY
4515540   SUCRALFATE 1GM SUSP               11.81                      45        PHARMACY
4508297   SUFENTANIL 100 MCG AMP           108.90                      45        PHARMACY
4508289   SUFENTANIL 50 MCG AMP            101.17                      45        PHARMACY
4512729   SUFENTANIL EPID PAINPUMP         143.00                      45        PHARMACY
4508099   SULFACETAMIDE 10% EYE ONT         34.18                      45        PHARMACY
4510806   SULFACETAMIDE 10% OPTHSOL         28.14                      45        PHARMACY
4500930   SULFASALAZINE 500MG TAB            9.35                      45        PHARMACY
4512265   SUMATRIPTAN 6MG IJ               175.00                      45        PHARMACY
3800018   SYNVISC PER DOSE IA              527.68                      38        PHARMACY
4506150   TAMOXIFEN 10MG PO                 13.45                      45        PHARMACY
4514600   TAMSULOSIN 0.4MG CAP              13.93                      45        PHARMACY
4507620   TEMAZEPAM 15MG CAP                19.40                      45        PHARMACY
3800034   TENECTEPLASE/50MG IJ            5870.92                      38        PHARMACY
4514634   TENECTEPLASE/50MG IJ            4806.00                      45        PHARMACY
4510020   TERAZOSIN 1 MG CAP                12.21                      45        PHARMACY
4510038   TERAZOSIN 5MG TAB                 10.50                      45        PHARMACY
4501201   TERBUTALINE 1MG IJ                94.67                      45        PHARMACY
4501219   TERBUTALINE 2.5 MG TAB             8.47                      45        PHARMACY
4501193   TERBUTALINE 5 MG TAB               8.00                      45        PHARMACY
4508594   TETRACAINE 0.5% OPTH SOL          27.08                      45        PHARMACY
4512968   TETRACAINE 1% 2ML AMP             47.20                      45        PHARMACY
4511325   TETRACAINE 2% 30ML TOP            45.00                      45        PHARMACY
4508602   TETRACYCLINE 250MG                 9.15                      45        PHARMACY
4511549   TETRAHYDROZOLIN 15M               21.88                      45        PHARMACY
4508636   THEOPHYLLINE 200 MG TAB            9.73                      45        PHARMACY
4508644   THEOPHYLLINE 300 MG TAB            9.77                      45        PHARMACY
4514220   THEOPHYLLINE 400MG IN D5W         59.24                      45        PHARMACY
4508693   THEOPHYLLINE 80MG/15ML            14.93                      45        PHARMACY
4512588   THIAMINE 100 MG TAB                9.07                      45        PHARMACY
4508727   THIAMINE HCL 100 MG IJ            31.74                      45        PHARMACY
4508974   THIETHYLPERAZINE 10MG IJ          28.00                      45        PHARMACY
4506606   THIOPENTAL 500MG IJ              117.10                      45        PHARMACY
4505178   THIORIDAZINE 10 MG TAB             9.67                      45        PHARMACY
4505186   THIORIDAZINE 25MG TAB              9.95                      45        PHARMACY
4511051   THIORIDAZINE 50MG TAB              2.00                      45        PHARMACY
4508776   THROMBIN 5000 U KIT                9.18                      45        PHARMACY
4508784   THYROID 60MG                       9.53                      45        PHARMACY
4511481   THYROID THYROID 15MG TAB           9.23                      45        PHARMACY



                                                      Page 98
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4508834   TICAR/CLAV 3.1GM IJ               86.00                      45        PHARMACY
4510442   TICLOPIDINE 250MG TABS            12.00                      45        PHARMACY
4508800   TIGAN 100 MG                      10.87                      45        PHARMACY
4508818   TIGAN 200 MG                      11.51                      45        PHARMACY
4514733   TIGAN 200MG IJ                    50.76                      45        PHARMACY
4508859   TIMOLOL .5% OPTH SOL              51.26                      45        PHARMACY
4515060   TIROFIBAN                       1115.94                      45        PHARMACY
4508875   TOBRA/DEXAMETH OPTH SUSP          84.24                      45        PHARMACY
4508909   TOBRAMYCIN 0.3% OPTH OINT        137.24                      45        PHARMACY
4508891   TOBRAMYCIN 0.3% OPTH SOL          46.48                      45        PHARMACY
4508883   TOBRAMYCIN 80MG IJ                80.40                      45        PHARMACY
4508941   TOLAZAMIDE 250 MG TAB             10.53                      45        PHARMACY
4514881   TOLTERODINE                       16.17                      45        PHARMACY
4514873   TOLTERODINE                       13.19                      45        PHARMACY
4512208   TOPOTECAN 4MG IJ                 947.50                      45        PHARMACY
4508990   TRACE ELEM 10ML VIAL              21.52                      45        PHARMACY
4512141   TRAMADOL 50MG TABLET              10.57                      45        PHARMACY
4502530   TRAZODONE 50 MG TAB                9.83                      45        PHARMACY
4504551   TRIAMCINOLONE 200 MG VIAL         50.34                      45        PHARMACY
4511523   TRIAMCINOLONE CREAM .025%         23.98                      45        PHARMACY
4504544   TRIAMCINOLONE CREAM 0.1%          37.78                      45        PHARMACY
4504536   TRIAMCINOLONE CREAM 0.1%          43.16                      45        PHARMACY
4504452   TRIAMCINOLONE CREAM 1%            48.46                      45        PHARMACY
4500922   TRIAMCINOLONE INHALER            228.98                      45        PHARMACY
4505863   TRIAMCINOLONE NAS INHALER        176.00                      45        PHARMACY
4503777   TRIAZOLAM 0.125 MG TAB            19.26                      45        PHARMACY
4508198   TRIFLUOPERAZINE 2MG TAB           10.67                      45        PHARMACY
4502001   TRIHEXYPHENIDYL 2 MG TAB           9.35                      45        PHARMACY
4508305   TRIPLE SULFA VAG CREAM            23.00                      45        PHARMACY
4500666   TROLAMINE                         47.54                      45        PHARMACY
4505764   TROPICAMIDE 1% OPTH SOLU         111.62                      45        PHARMACY
4515425   TRYPAN BLUE                       92.00                      45        PHARMACY
4506408   TUBERCULN SKIN TEST INTRA         41.81                      45        PHARMACY
4509121   TUBOCURARINE 30 MG VIAL           30.00                      45        PHARMACY
4514329   VALPROATE 500 MG VIAL             96.95                      45        PHARMACY
4502472   VALPROIC ACID 250MG CAP           10.27                      45        PHARMACY
4512984   VALPROIC ACID 250MG/5MLSY         14.39                      45        PHARMACY
4514253   VALSARTAN 80 MG CAP               12.99                      45        PHARMACY
4509360   VANCOMYCIN 1 GRAM VIAL            85.92                      45        PHARMACY
4515086   VANCOMYCIN 125MG CAP              39.25                      45        PHARMACY
4509378   VANCOMYCIN 500MG IJ               79.80                      45        PHARMACY



                                                      Page 99
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4506895   VASOPRESSIN 20 UNIT VIAL          46.76                      45        PHARMACY
4506168   VECURONIUM 10 MG VIAL             89.42                      45        PHARMACY
4509972   VENLAFAXINE 25 MG TABLET          13.09                      45        PHARMACY
4501391   VERAPAMIL 10MG VIAL               38.56                      45        PHARMACY
4501359   VERAPAMIL 120 MG TAB              10.86                      45        PHARMACY
4501409   VERAPAMIL 80 MG TAB               10.13                      45        PHARMACY
4501367   VERAPAMIL SR 180MG TAB            11.87                      45        PHARMACY
4509535   VISCOAT 0.75 ML                  380.96                      45        PHARMACY
4500005   VIT A&D OINTMENT                  38.55                      45        PHARMACY
4509618   VIT E 200 UNIT CAP                 9.09                      45        PHARMACY
4515136   VORICONAZOLE 200MG TABLET         82.50                      45        PHARMACY
4513636   VX DT DIP/TETTOX LT 7YRS          28.50                      45        PHARMACY
3800380   VX DTP DIP/TETTOX /PERTUS        134.56                      38        PHARMACY
4511945   VX DTP-HIB DTP-HEMOPH B          103.50                      45        PHARMACY
4513057   VX FLU SPLIT GT=3YRS IM           35.00                      45        PHARMACY
4503900   VX HEP B ADULT IM                102.00                      45        PHARMACY
4503918   VX HEP B PED/ADOL 3 DOSE          93.54                      45        PHARMACY
4507786   VX MMR                           135.76                      45        PHARMACY
4506929   VX PNMOCOCCL PLYSAC GT 2Y        102.49                      45        PHARMACY
3800208   VX RABIES INTRAMUSCULAR          448.46                      38        PHARMACY
4508578   VX TET DIPTOX PF GT 7Y IM         77.88                      45        PHARMACY
4512000   WARFARIN 1 MG TABLET              10.63                      45        PHARMACY
4502225   WARFARIN 2 MG TABLET               8.00                      45        PHARMACY
4502209   WARFARIN 2.5 MG TABLET            10.75                      45        PHARMACY
4511770   WARFARIN 3 MG TABLET               8.00                      45        PHARMACY
4502217   WARFARIN 5 MG TABLET               8.50                      45        PHARMACY
4502233   WARFARIN 7.5 MG TABLET             9.00                      45        PHARMACY
4510780   WATER BACTERIOSTATIC 30           18.50                      45        PHARMACY
4513925   WATER IJ 1000ML                   52.50                      45        PHARMACY
4514261   WATER IRRIG 1000ML                43.00                      45        PHARMACY
4513958   WATER IRRIG 3000ML                54.00                      45        PHARMACY
4511440   WATER STERILE 10ML VIAL           18.80                      45        PHARMACY
4513990   WATER STERILE 50 ML BAG           18.00                      45        PHARMACY
4509139   WITCH HAZEL PADS                  22.82                      45        PHARMACY
4511879   ZAFIRLUKAST 20MG TABLET           11.91                      45        PHARMACY
4507646   ZIDOVUDINE 100MG PO               13.49                      45        PHARMACY
4515649   ZIDOVUDINE 200MG VIAL             97.63                      45        PHARMACY
4515508   ZIDOVUDINE SYRUP 10MG/ML           9.80                      45        PHARMACY
4514915   ZINC                               9.27                      45        PHARMACY
4509758   ZINC OXIDE OINT                   21.18                      45        PHARMACY
4515110   ZIPRASIDONE 20MG CAPSULE          19.93                      45        PHARMACY



                                                     Page 100
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4512687   ZOLPIDEM 10 MG TAB                25.06                      45        PHARMACY
4514790   ZOMETA INJ 4MG VIAL             2090.92                      45        PHARMACY
4512075   ZOSYN 3.375 GM VL                109.94                      45        PHARMACY
4600144   ALUM CL IRRIG 3000 ML             60.00                      46        PHARMACY IV SOLUTIONS
4600029   CA ACET 1.5%79440707              38.00                      46        PHARMACY IV SOLUTIONS
4600037   LIPID EMULSION 10% 500 ML         69.50                      46        PHARMACY IV SOLUTIONS
4600045   LIPID EMULSION 20% 500ML         108.50                      46        PHARMACY IV SOLUTIONS
4600052   MANNITOL 20% 500 ML BAG          211.50                      46        PHARMACY IV SOLUTIONS
4600128   MISC INJECTION                     5.00                      46        PHARMACY IV SOLUTIONS
4600094   MISC INJECTION                    47.50                      46        PHARMACY IV SOLUTIONS
4600078   TPN 1000ML                       424.00                      46        PHARMACY IV SOLUTIONS
4600003   TPN 1000ML                       424.00                      46        PHARMACY IV SOLUTIONS
4701090   S NSTRL PCA SET W/INJECTR         12.00                      47        PHARMACY IV SUPPLIES
4701041   S STRL CATH AUTOGUARD-W            5.64                      47        PHARMACY IV SUPPLIES
4700928   S STRL CATH INSTYE                 4.86                      47        PHARMACY IV SUPPLIES
4700951   S STRL CATH INSYTE                 4.98                      47        PHARMACY IV SUPPLIES
4700944   S STRL CATH INSYTE                 4.98                      47        PHARMACY IV SUPPLIES
4700936   S STRL CATH INSYTE                 4.98                      47        PHARMACY IV SUPPLIES
4700258   S STRL CATH INSYTE                 5.00                      47        PHARMACY IV SUPPLIES
4700126   S STRL CATH INSYTE                 4.00                      47        PHARMACY IV SUPPLIES
4700985   S STRL CATH INSYTE                 1.50                      47        PHARMACY IV SUPPLIES
4701074   S STRL CATH INSYTE SHLD            7.00                      47        PHARMACY IV SUPPLIES
4701017   S STRL CATH INSYTE WNGD            4.50                      47        PHARMACY IV SUPPLIES
4700977   S STRL CATH RPAQUE                 4.50                      47        PHARMACY IV SUPPLIES
4700910   S STRL CATH TWIN 20/22            24.00                      47        PHARMACY IV SUPPLIES
4700514   S STRL CATH TWIN ARROW            24.50                      47        PHARMACY IV SUPPLIES
4700308   S STRL SET BLD PUMP               30.25                      47        PHARMACY IV SUPPLIES
8200230   HOT PACK/COLD PACK                                           82        PHYSICAL THERAPY
8200768   PT ADL TRAIN EA 15                98.00                      82        PHYSICAL THERAPY
8275315   PT BURN DSG / DEBRIDE LG         144.00                      82        PHYSICAL THERAPY
8275323   PT BURN DSG / DEBRIDE MED        120.00                      82        PHYSICAL THERAPY
8275331   PT BURN DSG / DEBRIDE SM         108.00                      82        PHYSICAL THERAPY
8275224   PT CONTRAST BATH ADD 15          137.00                      82        PHYSICAL THERAPY
8275232   PT CONTRAST BATH INIT 30         275.00                      82        PHYSICAL THERAPY
8275240   PT CONTRAST BATHS EA 15          104.00                      82        PHYSICAL THERAPY
8275752   PT DEBRIDE NON-SELECT 15         108.00                      82        PHYSICAL THERAPY
8275760   PT DEBRIDE NON-SELECT 30         195.00                      82        PHYSICAL THERAPY
8275778   PT DEBRIDE NON-SELECT 45         363.00                      82        PHYSICAL THERAPY
8275786   PT DEBRIDE NON-SELECT 60         416.00                      82        PHYSICAL THERAPY
8275810   PT DEBRIDE SEL<=20CM 15MN        111.00                      82        PHYSICAL THERAPY
8275836   PT DEBRIDE SEL<=20CM 30MN        225.00                      82        PHYSICAL THERAPY



                                                     Page 101
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


8275851   PT DEBRIDE SEL<=20CM 45MN        309.00                      82        PHYSICAL THERAPY
8275794   PT DEBRIDE SEL<=20CM 60MN        399.00                      82        PHYSICAL THERAPY
8275828   PT DEBRIDE SEL>20CM 15MN         131.00                      82        PHYSICAL THERAPY
8275844   PT DEBRIDE SEL>20CM 30MN         254.00                      82        PHYSICAL THERAPY
8275869   PT DEBRIDE SEL>20CM 45MN         340.00                      82        PHYSICAL THERAPY
8275802   PT DEBRIDE SEL>20CM 60MN         447.00                      82        PHYSICAL THERAPY
8275257   PT DEBRIDE SKIN FULL             329.00                      82        PHYSICAL THERAPY
8275273   PT DEBRIDE SKIN PARTIAL          183.00                      82        PHYSICAL THERAPY
8275281   PT DEBRIDE SKIN/TISSUE           145.00                      82        PHYSICAL THERAPY
8275299   PT DEBRIDE/DRESS ADD 15          145.00                      82        PHYSICAL THERAPY
8275307   PT DEBRIDE/DRESS INIT 30         289.00                      82        PHYSICAL THERAPY
8275562   PT E-STIM EA 15                   72.00                      82        PHYSICAL THERAPY
8275570   PT E-STIM MANUAL ADD 15          127.00                      82        PHYSICAL THERAPY
8275588   PT E-STIM MANUAL INIT 30         186.00                      82        PHYSICAL THERAPY
8275042   PT EVAL 15                       103.00                      82        PHYSICAL THERAPY
8275059   PT EVAL 30                       204.00                      82        PHYSICAL THERAPY
8275067   PT EVAL 45                       327.00                      82        PHYSICAL THERAPY
8200735   PT EVAL 60                       426.00                      82        PHYSICAL THERAPY
8275075   PT EVAL 90                       898.00                      82        PHYSICAL THERAPY
8275349   PT EVAL ADD 15                   113.00                      82        PHYSICAL THERAPY
8275745   PT EVAL BRIEF                    111.00                      82        PHYSICAL THERAPY
8275737   PT EVAL COMPREHENSIVE            208.00                      82        PHYSICAL THERAPY
8275711   PT EVAL EXTENDED                 422.00                      82        PHYSICAL THERAPY
8275356   PT EVAL INIT 30                  226.00                      82        PHYSICAL THERAPY
8275364   PT GAIT TRAIN ADD 15             109.00                      82        PHYSICAL THERAPY
8200677   PT GAIT TRAIN EA 15              104.00                      82        PHYSICAL THERAPY
8275083   PT GAIT TRAIN INIT 30            220.00                      82        PHYSICAL THERAPY
8275372   PT HUBBARD TANK ADD 15           117.00                      82        PHYSICAL THERAPY
8200867   PT HUBBARD TANK EA 15            118.00                      82        PHYSICAL THERAPY
8275398   PT HUBBARD TANK INIT 30          221.00                      82        PHYSICAL THERAPY
8275729   PT JOINT MOB EA VISIT            213.00                      82        PHYSICAL THERAPY
8200776   PT MANUAL THER EA 15             102.00                      82        PHYSICAL THERAPY
8275406   PT MANUAL TRACT INIT 30          185.00                      82        PHYSICAL THERAPY
8275679   PT MYOFAC/SOFT MOB 15            112.00                      82        PHYSICAL THERAPY
8275695   PT MYOFAC/SOFT MOB 30            191.00                      82        PHYSICAL THERAPY
8275414   PT MYOFASC REL ADD 15            110.00                      82        PHYSICAL THERAPY
8275422   PT MYOFASC REL INIT 30           219.00                      82        PHYSICAL THERAPY
8275430   PT NEUROMUSC REED ADD 15         108.00                      82        PHYSICAL THERAPY
8200727   PT NEUROMUSC REED EA 15          111.00                      82        PHYSICAL THERAPY
8275091   PT NEUROMUSC REED INIT 30        200.00                      82        PHYSICAL THERAPY
8275448   PT ORTHOTIC TRAIN ADD 15         138.00                      82        PHYSICAL THERAPY



                                                     Page 102
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


8275455   PT ORTHOTIC TRAIN INIT 30        167.00                      82        PHYSICAL THERAPY
8200693   PT PARAFFIN BATH 15               66.00                      82        PHYSICAL THERAPY
8275596   PT PARAFFIN BATH INIT 30         164.00                      82        PHYSICAL THERAPY
8200651   PT PHYS PERFRM TEST EA 15        131.00                      82        PHYSICAL THERAPY
8275604   PT PROSTH TRAIN ADD 15           109.00                      82        PHYSICAL THERAPY
8275612   PT PROSTH TRAIN EA 15            112.00                      82        PHYSICAL THERAPY
8275620   PT PROSTH TRAIN INIT 30          216.00                      82        PHYSICAL THERAPY
8275109   PT RE-EVAL 15                    122.00                      82        PHYSICAL THERAPY
8275117   PT RE-EVAL 30                    271.00                      82        PHYSICAL THERAPY
8275125   PT RE-EVAL 45                    295.00                      82        PHYSICAL THERAPY
8200750   PT RE-EVAL 60                    412.00                      82        PHYSICAL THERAPY
8275463   PT RE-EVAL ADD 15                 95.00                      82        PHYSICAL THERAPY
8275471   PT RE-EVAL INIT 30               195.00                      82        PHYSICAL THERAPY
8275877   PT SCREEN 15 MIN                                             82        PHYSICAL THERAPY
8275489   PT SINGLE MODAL ADD 15           115.00                      82        PHYSICAL THERAPY
8275497   PT SINGLE MODAL INIT 30          223.00                      82        PHYSICAL THERAPY
8275505   PT SINGLE PROC ADD 15            134.00                      82        PHYSICAL THERAPY
8275513   PT SINGLE PROC INIT 30           274.00                      82        PHYSICAL THERAPY
8200834   PT STRAP UNNA BOOT               238.00                      82        PHYSICAL THERAPY
8275703   PT THER ACT ADD 15                78.00                      82        PHYSICAL THERAPY
8200636   PT THER ACT EA 15                127.00                      82        PHYSICAL THERAPY
8275133   PT THER ACT INIT 30              177.00                      82        PHYSICAL THERAPY
8275521   PT THER EX ADD 15                111.00                      82        PHYSICAL THERAPY
8200792   PT THER EX EA 15                 112.00                      82        PHYSICAL THERAPY
8275141   PT THER EX INIT 30               177.00                      82        PHYSICAL THERAPY
8200701   PT THER MASSAGE EA 15             90.00                      82        PHYSICAL THERAPY
8275158   PT THER MASSAGE INIT 30          214.00                      82        PHYSICAL THERAPY
8275539   PT TREAT COMBO ADD 15            121.00                      82        PHYSICAL THERAPY
8275547   PT TREAT COMBO INIT 30           237.00                      82        PHYSICAL THERAPY
8200826   PT ULTRASOUND EA 15               95.00                      82        PHYSICAL THERAPY
8275554   PT ULTRASOUND INIT 30            193.00                      82        PHYSICAL THERAPY
8275687   PT UNLISTED MODAL                 81.00                      82        PHYSICAL THERAPY
8275190   PT WHIRLPOOL 15                   90.00                      82        PHYSICAL THERAPY
8200859   PT WHIRLPOOL 30                  189.00                      82        PHYSICAL THERAPY
8200842   PT WHLCHR MNG/TRAIN EA 15        111.00                      82        PHYSICAL THERAPY
8300311   APPLY SHORT LEG CAST             413.00                      83        PHYSICIAN SERVICES
8301640   CHART REVIEW 60                   40.00                      83        PHYSICIAN SERVICES
8301632   CHART REVIEW ADD 30               65.00                      83        PHYSICIAN SERVICES
8301376   PF APP LONG LEG SPLNT            179.00                      83        PHYSICIAN SERVICES
8301764   PF APP LOW LEG SPLNT             136.00                      83        PHYSICIAN SERVICES
8300758   PF APP SPLNT FING STA             56.00                      83        PHYSICIAN SERVICES



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8301368   PF APP SPLNT LONG ARM            221.00                      83        PHYSICIAN SERVICES
8301756   PF APP SPLNT SHRT ARM STA        121.00                      83        PHYSICIAN SERVICES
8300303   PF APPL CAST ELBOW FING          192.00                      83        PHYSICIAN SERVICES
8300139   PF ARTERIAL PUNCTURE              37.00                      83        PHYSICIAN SERVICES
8300220   PF BURN DSG / DEBR LG            170.00                      83        PHYSICIAN SERVICES
8300246   PF BURN DSG / DEBR SM             98.00                      83        PHYSICIAN SERVICES
8300238   PF BURN DSG/DEBRID MED           191.00                      83        PHYSICIAN SERVICES
8300253   PF CARDIOVERT ELECT EXT          481.00                      83        PHYSICIAN SERVICES
8301467   PF CL NSL BONE FX WO STBL        250.00                      83        PHYSICIAN SERVICES
8301442   PF CL TX MTCRPL FX W MAN         500.00                      83        PHYSICIAN SERVICES
8301558   PF CL TX PATELLAR DSCL           289.00                      83        PHYSICIAN SERVICES
8301913   PF CL TX TMJ DSCL                159.00                      83        PHYSICIAN SERVICES
8300105   PF CLS TX ANK DIS WO ANES        180.00                      83        PHYSICIAN SERVICES
8300352   PF CLS TX CLAVI FX W MANP        390.00                      83        PHYSICIAN SERVICES
8300584   PF CLS TX D PHAL FX W MNP        108.00                      83        PHYSICIAN SERVICES
8300659   PF CLS TX DISL ELB WO ANE        356.00                      83        PHYSICIAN SERVICES
8301780   PF CLS TX DSHLD W M WO AN        311.00                      83        PHYSICIAN SERVICES
8300824   PF CLS TX HIP DIS TR WO A        223.00                      83        PHYSICIAN SERVICES
8300931   PF CLS TX IP DS W M WO AN        171.00                      83        PHYSICIAN SERVICES
8301434   PF CLS TX MC DS1 W MN WOA        243.00                      83        PHYSICIAN SERVICES
8301590   PF CLS TX PHAL FX WWO TRA        243.00                      83        PHYSICIAN SERVICES
8301707   PF CLS TX RAD HD SBLX CHL        114.00                      83        PHYSICIAN SERVICES
8301392   PF CLS TX RAD SH F W MNP         905.00                      83        PHYSICIAN SERVICES
8300592   PF CLSD RADIUS FX W MANIP        184.00                      83        PHYSICIAN SERVICES
8301509   PF CNT NSL HEM PKS/CT INI        433.00                      83        PHYSICIAN SERVICES
8301517   PF CNT NSL HEMORR ANT CPL        193.00                      83        PHYSICIAN SERVICES
8301491   PF CNT NSL HEMORR ANT SMP        163.00                      83        PHYSICIAN SERVICES
8300436   PF CPR                            97.00                      83        PHYSICIAN SERVICES
8300527   PF CURETTAGE POSTPARTUM          622.00                      83        PHYSICIAN SERVICES
8300535   PF DEBRIDE SKIN PART THCK         99.00                      83        PHYSICIAN SERVICES
8300113   PF DIAGNOSTIC ANOSCOPY           115.00                      83        PHYSICIAN SERVICES
8300014   PF DRAIN ABSCESS SMPL/SGL        142.00                      83        PHYSICIAN SERVICES
8300162   PF DRN/INJ JNT/BURSA INT          58.00                      83        PHYSICIAN SERVICES
8300147   PF DRN/INJ JNT/BURSA MAJ          72.00                      83        PHYSICIAN SERVICES
8300154   PF DRN/INJ JNT/BURSA SM           49.00                      83        PHYSICIAN SERVICES
8301350   PF DX LARYNG INDIRECT             81.00                      83        PHYSICIAN SERVICES
8300444   PF ED CC 1ST 30-74 MN            612.00                      83        PHYSICIAN SERVICES
8300451   PF ED CC EA ADD 30 MN            213.00                      83        PHYSICIAN SERVICES
8300642   PF ED LEVEL 1                     88.00                      83        PHYSICIAN SERVICES
8300634   PF ED LEVEL 2                    199.00                      83        PHYSICIAN SERVICES
8300626   PF ED LEVEL 3                    200.00                      83        PHYSICIAN SERVICES



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8300618   PF ED LEVEL 4                    313.00                      83        PHYSICIAN SERVICES
8300600   PF ED LEVEL 5                    438.00                      83        PHYSICIAN SERVICES
8301848   PF EVAC SUBUNGUAL HEMATOM         98.00                      83        PHYSICIAN SERVICES
8300717   PF EXC EXT THROMB HEMORR         213.00                      83        PHYSICIAN SERVICES
8300774   PF GASTRIC LAVAGE                168.00                      83        PHYSICIAN SERVICES
8300808   PF GLUCOSE BLD REAG STR           11.00                      83        PHYSICIAN SERVICES
8300196   PF I&D BARTHLNS GLND ABSC        460.00                      83        PHYSICIAN SERVICES
8300063   PF I&D PERIAN ABSCSS SPRF         99.00                      83        PHYSICIAN SERVICES
8300816   PF INC/DRN HEMATOMA              194.00                      83        PHYSICIAN SERVICES
8301608   PF INC/DRN PILON CYST SIM        167.00                      83        PHYSICIAN SERVICES
8302036   PF INDIA INK PREP CSF             15.00                      83        PHYSICIAN SERVICES
8301871   PF INJ IVP SNGL/INIT DRG          36.00                      83        PHYSICIAN SERVICES
8301475   PF INJ NRV BLK PERIPH            358.00                      83        PHYSICIAN SERVICES
8300899   PF INJ TND SHEATH/LG              54.00                      83        PHYSICIAN SERVICES
8301855   PF INJECTION IM/SQ EA             66.00                      83        PHYSICIAN SERVICES
8300501   PF INS NON-TUN CV CATH 5+        428.00                      83        PHYSICIAN SERVICES
8300329   PF INSERT CATH NONINDWLL          80.00                      83        PHYSICIAN SERVICES
8300667   PF INTUBATION EMERGENCY           43.00                      83        PHYSICIAN SERVICES
8301152   PF LAC I/F,E,N 2.5CM/LESS        306.00                      83        PHYSICIAN SERVICES
8301178   PF LAC INT/F,E,N 2.6-5.0C        398.00                      83        PHYSICIAN SERVICES
8301202   PF LAC INT/F,E,N 5.1-7.5C        441.00                      83        PHYSICIAN SERVICES
8301194   PF LAC INTM 2.5CM/LESS           211.00                      83        PHYSICIAN SERVICES
8301103   PF LAC INTM 2.6-7.5CM            307.00                      83        PHYSICIAN SERVICES
8301137   PF LAC INTM 7.6-12.5CM           414.00                      83        PHYSICIAN SERVICES
8301277   PF LAC S F,E,N 7.6-12.5CM        431.00                      83        PHYSICIAN SERVICES
8301269   PF LAC SMP/F,E,N 5.1-7.5C        369.00                      83        PHYSICIAN SERVICES
8301301   PF LAC SMPL 12.6-20CM            370.00                      83        PHYSICIAN SERVICES
8301293   PF LAC SMPL 2.5CM/LESS           127.00                      83        PHYSICIAN SERVICES
8301327   PF LAC SMPL 2.6-7.5CM            200.00                      83        PHYSICIAN SERVICES
8301244   PF LAC SMPL 7.6-12.5CM           273.00                      83        PHYSICIAN SERVICES
8301145   PF LAC SMPL/F,E,N <2.51CM        210.00                      83        PHYSICIAN SERVICES
8301251   PF LAC SMPL/F,E,N 2.6-5CM        255.00                      83        PHYSICIAN SERVICES
8301731   PF LARYNG INDRCT W FB RMV        110.50                      83        PHYSICIAN SERVICES
8301814   PF LUMBAR PUNCTURE DX            228.00                      83        PHYSICIAN SERVICES
8304990   PF MISC PHY CHARGE                                           83        PHYSICIAN SERVICES
8302077   PF OCCLT BLD QL FCS 1 SPC         39.00                      83        PHYSICIAN SERVICES
8302069   PF OCCULT BLD OTHER QL            39.00                      83        PHYSICIAN SERVICES
8301624   PF PROLONGED OP 1ST HOUR         266.00                      83        PHYSICIAN SERVICES
8301657   PF PROLONGED OP EA ADD 30        133.00                      83        PHYSICIAN SERVICES
8301681   PF PUNCTURE DRN LESN             126.00                      83        PHYSICIAN SERVICES
8300733   PF RMV FB AUD CAN WO ANES        102.00                      83        PHYSICIAN SERVICES



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8300360   PF RMV FB EYE CONJ EMB           107.00                      83        PHYSICIAN SERVICES
8300378   PF RMV FB EYE CONJ SUP            74.00                      83        PHYSICIAN SERVICES
8300394   PF RMV FB EYE CORN W LAMP        135.00                      83        PHYSICIAN SERVICES
8300386   PF RMV FB EYE CORN WO LMP        122.00                      83        PHYSICIAN SERVICES
8301483   PF RMV FB INTRANASAL OFF         105.00                      83        PHYSICIAN SERVICES
8301459   PF RMV FB MUSC/TEND SMP          230.00                      83        PHYSICIAN SERVICES
8301715   PF RMV FECL IMP FB SP W A        407.00                      83        PHYSICIAN SERVICES
8301830   PF RMVL FB SUBQ TISS SMPL        126.00                      83        PHYSICIAN SERVICES
8300840   PF RMVL IMPACTED CERUMEN          88.00                      83        PHYSICIAN SERVICES
8301095   PF RPR I N/FT/GEN2.6-7.5C        341.00                      83        PHYSICIAN SERVICES
8301236   PF RPR N/FT/GEN 7.5-12.5C        482.00                      83        PHYSICIAN SERVICES
8301228   PF RPR NCK/FT/GEN ILT2.5C        218.00                      83        PHYSICIAN SERVICES
8301806   PF SMR W/INTERP                   15.00                      83        PHYSICIAN SERVICES
8301889   PF THORACENTESIS                 668.00                      83        PHYSICIAN SERVICES
8300683   PF TOENAIL EXCISION              360.00                      83        PHYSICIAN SERVICES
8300915   PF TRACN ECG 1-3 LD W I&R         69.00                      83        PHYSICIAN SERVICES
8300345   PF TUBE THORACOSTOMY             484.00                      83        PHYSICIAN SERVICES
8301954   PF TX INCOMPLETE AB              342.00                      83        PHYSICIAN SERVICES
8300576   PF URNALYSIS MAN W/O MICR          9.00                      83        PHYSICIAN SERVICES
8302002   PF VENIPUNCTR W/MD GT3YR         124.00                      83        PHYSICIAN SERVICES
5600085   MAXIMAL VOLUNTARY VENT            88.00                      56        PULMONARY REHAB
5600036   PULSE OXIMETRY SINGLE             42.00                      56        PULMONARY REHAB
5600069   PULSE OX-OVERNIGHT CONT          150.00                      56        PULMONARY REHAB
5600051   THER PROC RESP FNCTN 15M          66.00                      56        PULMONARY REHAB
5600028   THER PROC RESP FNCTN GRP          59.00                      56        PULMONARY REHAB
5600077   THER PROC STRNTH/ENDR 15M         73.00                      56        PULMONARY REHAB
6401434   CON GASTROGRAF 120ML             214.00                      64        RADIOLOGY CT SCAN
6402341   CON LOCM 300-349S I 1ML            1.50                      64        RADIOLOGY CT SCAN
6402333   CT 3D RENDER W/POSTPROCES        600.00                      64        RADIOLOGY CT SCAN
6400089   CT ABD W/CON                    1181.00                      64        RADIOLOGY CT SCAN
6400063   CT ABD W/O CON                   985.00                      64        RADIOLOGY CT SCAN
6400071   CT ABD W-W/O CON                1456.00                      64        RADIOLOGY CT SCAN
6400097   CT BRAIN W CON                   982.00                      64        RADIOLOGY CT SCAN
6400105   CT BRAIN W/O CON                 813.00                      64        RADIOLOGY CT SCAN
6400113   CT BRAIN W-W/O CON              1219.00                      64        RADIOLOGY CT SCAN
6402440   CT CATH RENL PELV PRC            579.00                      64        RADIOLOGY CT SCAN
6402374   CT CS SAME MD ADD 15M            136.00                      64        RADIOLOGY CT SCAN
6402366   CT CS SAME MD GT5YR 0-30M        272.00                      64        RADIOLOGY CT SCAN
6402358   CT CS SAME MD LT5YR 0-30M        272.00                      64        RADIOLOGY CT SCAN
6400303   CT DRN W CATH PLACE PRC          576.00                      64        RADIOLOGY CT SCAN
6400154   CT EXT LOW W CON                1024.00                      64        RADIOLOGY CT SCAN



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6400519   CT EXT LOW W/O CON               865.00                      64        RADIOLOGY CT SCAN
6400881   CT EXT LOW W-W/O CON            1272.00                      64        RADIOLOGY CT SCAN
6400287   CT EXT UPP W CON                1024.00                      64        RADIOLOGY CT SCAN
6400543   CT EXT UPP W/O CON               865.00                      64        RADIOLOGY CT SCAN
6400816   CT EXT UPP W-W/O CON            1272.00                      64        RADIOLOGY CT SCAN
6400337   CT GUIDE NDL PLACEMENT          1405.00                      64        RADIOLOGY CT SCAN
6401012   CT LTD OR FU STDY                621.00                      64        RADIOLOGY CT SCAN
6400782   CT MAXILLOFACIAL W CON           991.00                      64        RADIOLOGY CT SCAN
6400238   CT MAXILLOFACIAL W/O CON         828.00                      64        RADIOLOGY CT SCAN
6400436   CT NEC W CON                     995.00                      64        RADIOLOGY CT SCAN
6400766   CT NEC W/O CON                   836.00                      64        RADIOLOGY CT SCAN
6402457   CT NEC W-W/O CON                1110.00                      64        RADIOLOGY CT SCAN
6400196   CT ORBIT SELLA FOSSA W           995.00                      64        RADIOLOGY CT SCAN
6400295   CT ORBIT/SELLA/FOSSA W/O         836.00                      64        RADIOLOGY CT SCAN
6402424   CT PELV W CON                   1188.00                      64        RADIOLOGY CT SCAN
6400220   CT PELV W/O CON                 1021.00                      64        RADIOLOGY CT SCAN
6400212   CT PELV W-W/O CON               1446.00                      64        RADIOLOGY CT SCAN
6402382   CT SPINE CERV W CON             1205.00                      64        RADIOLOGY CT SCAN
6400121   CT SPINE CERV W/O CON           1024.00                      64        RADIOLOGY CT SCAN
6402390   CT SPINE LUMB W CON             1205.00                      64        RADIOLOGY CT SCAN
6400188   CT SPINE LUMB W/O CON           1024.00                      64        RADIOLOGY CT SCAN
6402465   CT SPINE LUMB W-W/O CON         1236.00                      64        RADIOLOGY CT SCAN
6400253   CT SPINE THOR W/O CON           1024.00                      64        RADIOLOGY CT SCAN
6400139   CT THORAX W CON                 1217.00                      64        RADIOLOGY CT SCAN
6400147   CT THORAX W/O CON               1024.00                      64        RADIOLOGY CT SCAN
6402432   CT THORAX W-W/O                 1432.00                      64        RADIOLOGY CT SCAN
6402226   CTA CHST NOCORO W-W/O CON       2118.00                      64        RADIOLOGY CT SCAN
6400873   CTC ABSCSS CYST LIVER PRC       1953.00                      64        RADIOLOGY CT SCAN
6402002   CTC ABSCSS DRN PELV PRC         3469.00                      64        RADIOLOGY CT SCAN
6400899   CTC ABSCSS DRN PERITNL          2215.00                      64        RADIOLOGY CT SCAN
6400923   CTC ABSCSS DRN RENL             3523.00                      64        RADIOLOGY CT SCAN
6400931   CTC ABSCSS DRN RETROPE           725.00                      64        RADIOLOGY CT SCAN
6400915   CTC ABSCSS DRN SUBDIAP          3176.00                      64        RADIOLOGY CT SCAN
6401004   CTC ABSCSS INC SFT TISSUE        568.00                      64        RADIOLOGY CT SCAN
6400972   CTC ASP RENL CYST                104.00                      64        RADIOLOGY CT SCAN
6400790   CTC BX ABD RETROPE               505.00                      64        RADIOLOGY CT SCAN
6401137   CTC BX LIVER                     613.00                      64        RADIOLOGY CT SCAN
6400741   CTC BX LUNG MEDIASTNM            395.00                      64        RADIOLOGY CT SCAN
6400774   CTC BX PANCREAS                 1293.00                      64        RADIOLOGY CT SCAN
6400808   CTC BX PLEURA                    346.00                      64        RADIOLOGY CT SCAN
6400048   CTC INTRO CATH RENL PELV         725.00                      64        RADIOLOGY CT SCAN



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6400956   CTC PARACENT ABD INI             647.00                      64        RADIOLOGY CT SCAN
6401095   CTC THORACENTESIS                725.00                      64        RADIOLOGY CT SCAN
6401111   CTC THORACENTESIS W TUBE         522.00                      64        RADIOLOGY CT SCAN
6400964   IRC ABSCSS DRN PELV PRC         4398.00                      64        RADIOLOGY CT SCAN
6400733   IRC BX BONE DEEP                2452.00                      64        RADIOLOGY CT SCAN
6400725   IRC BX BONE SUPER               2357.00                      64        RADIOLOGY CT SCAN
6400345   IRC THORACENTESIS W TUBE        1655.00                      64        RADIOLOGY CT SCAN
6400758   USC BX LIVER                    1282.00                      64        RADIOLOGY CT SCAN
6401129   USC THORACENTESIS W TUBE        1093.00                      64        RADIOLOGY CT SCAN
6400451   XR DRN W CATH PLACE PRC          335.00                      64        RADIOLOGY CT SCAN
6400675   XRC INJ NRV BLK LUMB THOR       2049.00                      64        RADIOLOGY CT SCAN
5803119   CON GASTROGRAF 120ML             214.00                      58        RADIOLOGY DIAGNOSTIC
5804174   CON LOCM 300-349S I 1ML            1.50                      58        RADIOLOGY DIAGNOSTIC
5804141   GLUCAGON HCL 1MG IJ              159.00                      58        RADIOLOGY DIAGNOSTIC
5800446   IR ABSCSS FIST SIN TRACT         618.00                      58        RADIOLOGY DIAGNOSTIC
5802178   IR CATH RENL PELV PRC           2128.00                      58        RADIOLOGY DIAGNOSTIC
5803192   IR CHOL EXISTING CATH            463.00                      58        RADIOLOGY DIAGNOSTIC
5802798   IR FLUORO NDL PLACE              738.00                      58        RADIOLOGY DIAGNOSTIC
5802590   IR IVC FILTER PLACE             6389.00                      58        RADIOLOGY DIAGNOSTIC
5802186   IR URETERAL STENT PRC           2128.00                      58        RADIOLOGY DIAGNOSTIC
5802269   IRC ABSCSS DRN RENL             4036.00                      58        RADIOLOGY DIAGNOSTIC
5800024   XR ABD 1V AP                     231.00                      58        RADIOLOGY DIAGNOSTIC
5800032   XR ABD CMPL DECUB ERECT          283.00                      58        RADIOLOGY DIAGNOSTIC
5800008   XR ABD CMPL W 1V CHEST           330.00                      58        RADIOLOGY DIAGNOSTIC
5800040   XR AC JNT                        294.00                      58        RADIOLOGY DIAGNOSTIC
5800107   XR ANKLE 2V                      215.00                      58        RADIOLOGY DIAGNOSTIC
5801550   XR ANKLE 3V OR MORE              235.00                      58        RADIOLOGY DIAGNOSTIC
5800081   XR ARTHRO ANKLE                  911.00                      58        RADIOLOGY DIAGNOSTIC
5800321   XR ARTHRO ELBOW                  915.00                      58        RADIOLOGY DIAGNOSTIC
5800529   XR ARTHRO HIP                    911.00                      58        RADIOLOGY DIAGNOSTIC
5800636   XR ARTHRO KNEE                  1114.00                      58        RADIOLOGY DIAGNOSTIC
5801816   XR ARTHRO SHOULDER               911.00                      58        RADIOLOGY DIAGNOSTIC
5801436   XR ARTHRO WRIST                  700.00                      58        RADIOLOGY DIAGNOSTIC
5800297   XR BE                            768.00                      58        RADIOLOGY DIAGNOSTIC
5800289   XR BE W AIR CON                 1019.00                      58        RADIOLOGY DIAGNOSTIC
5800131   XR BONE AGE STDY                 231.00                      58        RADIOLOGY DIAGNOSTIC
5802152   XR BONE LENGTH STDY              346.00                      58        RADIOLOGY DIAGNOSTIC
5800149   XR BONE SURVEY CMPL              645.00                      58        RADIOLOGY DIAGNOSTIC
5800628   XR BONE SURVEY INF               382.00                      58        RADIOLOGY DIAGNOSTIC
5801782   XR CALCANEOUS 2V OR MORE         207.00                      58        RADIOLOGY DIAGNOSTIC
5804307   XR CATH RENL PELV PRC            335.00                      58        RADIOLOGY DIAGNOSTIC



                                                     Page 108
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5800198   XR CHEST 1V                      211.00                      58        RADIOLOGY DIAGNOSTIC
5800214   XR CHEST 2V                      275.00                      58        RADIOLOGY DIAGNOSTIC
5800206   XR CHEST 2V W AP LORDOTIC        326.00                      58        RADIOLOGY DIAGNOSTIC
5800180   XR CHEST 2V W OBLIQUES           330.00                      58        RADIOLOGY DIAGNOSTIC
5800222   XR CHOL EXISTING CATH            366.00                      58        RADIOLOGY DIAGNOSTIC
5800248   XR CHOL IN OR                    398.00                      58        RADIOLOGY DIAGNOSTIC
5800263   XR CHOLECYSTOGRAM ORAL FU        249.00                      58        RADIOLOGY DIAGNOSTIC
5801576   XR CLAVICLE CMPL                 227.00                      58        RADIOLOGY DIAGNOSTIC
5800305   XR CYSTOGRAM 3V OR MORE          458.00                      58        RADIOLOGY DIAGNOSTIC
5802251   XR DENTAL FULL EXAM              309.00                      58        RADIOLOGY DIAGNOSTIC
5802244   XR DENTAL PARTIAL EXAM           199.00                      58        RADIOLOGY DIAGNOSTIC
5802236   XR DENTAL SNGL FILM              116.00                      58        RADIOLOGY DIAGNOSTIC
5800347   XR ELBOW 2V                      227.00                      58        RADIOLOGY DIAGNOSTIC
5801592   XR ELBOW 3V OR MORE              251.00                      58        RADIOLOGY DIAGNOSTIC
5800354   XR ESOPH                         533.00                      58        RADIOLOGY DIAGNOSTIC
5800370   XR EYE FOR FB                    191.00                      58        RADIOLOGY DIAGNOSTIC
5800388   XR FACIAL BONE 3V OR MORE        342.00                      58        RADIOLOGY DIAGNOSTIC
5800396   XR FACIAL BONE LES 3V            271.00                      58        RADIOLOGY DIAGNOSTIC
5800412   XR FEMUR 2V                      251.00                      58        RADIOLOGY DIAGNOSTIC
5800438   XR FINGER(S) 2V OR MORE          183.00                      58        RADIOLOGY DIAGNOSTIC
5800156   XR FLUORO 1HR OR LES             541.00                      58        RADIOLOGY DIAGNOSTIC
5802210   XR FLUORO NDL PLACE              589.00                      58        RADIOLOGY DIAGNOSTIC
5801642   XR FOOT 2V                       215.00                      58        RADIOLOGY DIAGNOSTIC
5800479   XR FOOT 3V OR MORE               235.00                      58        RADIOLOGY DIAGNOSTIC
5801659   XR FOREARM 2V                    227.00                      58        RADIOLOGY DIAGNOSTIC
5804182   XR GALACTOGRAM 1 DUCT           1087.00                      58        RADIOLOGY DIAGNOSTIC
5804190   XR GALACTOGRAM MULTI            1349.00                      58        RADIOLOGY DIAGNOSTIC
5800511   XR HAND 2V                       215.00                      58        RADIOLOGY DIAGNOSTIC
5800503   XR HAND 3V OR MORE               235.00                      58        RADIOLOGY DIAGNOSTIC
5800578   XR HIP OR                        247.00                      58        RADIOLOGY DIAGNOSTIC
5800594   XR HIP UNI 1V                    211.00                      58        RADIOLOGY DIAGNOSTIC
5801691   XR HIP UNI 2V OR MORE            255.00                      58        RADIOLOGY DIAGNOSTIC
5800537   XR HIPS BIL 2V W PELV            302.00                      58        RADIOLOGY DIAGNOSTIC
5800602   XR HUMERUS 2V OR MORE            251.00                      58        RADIOLOGY DIAGNOSTIC
5800610   XR HYSTEROSALPINGOGRAM           573.00                      58        RADIOLOGY DIAGNOSTIC
5801360   XR IVP W DRIP + OR BOLUS         844.00                      58        RADIOLOGY DIAGNOSTIC
5801378   XR IVP W NEPHROTOMOGRAM          911.00                      58        RADIOLOGY DIAGNOSTIC
5802897   XR JNT SURVEY 1V                 481.00                      58        RADIOLOGY DIAGNOSTIC
5800651   XR KNEE 1 OR 2V                  231.00                      58        RADIOLOGY DIAGNOSTIC
5800644   XR KNEE 4V OR MORE               275.00                      58        RADIOLOGY DIAGNOSTIC
5800693   XR MANDIBLE 4V OR MORE           279.00                      58        RADIOLOGY DIAGNOSTIC



                                                     Page 109
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5800685   XR MANDIBLE LES 4V               231.00                      58        RADIOLOGY DIAGNOSTIC
5800701   XR MASTOIDS 3V OR MORE           354.00                      58        RADIOLOGY DIAGNOSTIC
5800727   XR MYELOGRAM CERV               2009.00                      58        RADIOLOGY DIAGNOSTIC
5800768   XR MYELOGRAM LUMB               1723.00                      58        RADIOLOGY DIAGNOSTIC
5800743   XR MYELOGRAM THOR               1834.00                      58        RADIOLOGY DIAGNOSTIC
5800735   XR MYELOGRM 1 OR MORE REG       2602.00                      58        RADIOLOGY DIAGNOSTIC
5800776   XR NASAL BONES 3V OR MORE        231.00                      58        RADIOLOGY DIAGNOSTIC
5800784   XR NEC SOFT TISSUE               191.00                      58        RADIOLOGY DIAGNOSTIC
5800818   XR ORBITS 4V OR MORE             346.00                      58        RADIOLOGY DIAGNOSTIC
5800891   XR PELV 1 OR 2V                  231.00                      58        RADIOLOGY DIAGNOSTIC
5800883   XR PELV 3V OR MORE               294.00                      58        RADIOLOGY DIAGNOSTIC
5800545   XR PELV HIP 2V INF CHLD          255.00                      58        RADIOLOGY DIAGNOSTIC
5800925   XR RIBS BIL 3V                   346.00                      58        RADIOLOGY DIAGNOSTIC
5801790   XR RIBS UNI 2V                   255.00                      58        RADIOLOGY DIAGNOSTIC
5800966   XR SACRUM COCCYX 2 V MORE        251.00                      58        RADIOLOGY DIAGNOSTIC
5800974   XR SALIVARY GLAND CALC           290.00                      58        RADIOLOGY DIAGNOSTIC
5801808   XR SCAPULA CMPL                  231.00                      58        RADIOLOGY DIAGNOSTIC
5801022   XR SHOULDER 1V                   207.00                      58        RADIOLOGY DIAGNOSTIC
5801014   XR SHOULDER 2V OR MORE           251.00                      58        RADIOLOGY DIAGNOSTIC
5800958   XR SI JNT 1 OR 2V                231.00                      58        RADIOLOGY DIAGNOSTIC
5800941   XR SI JNT 3V OR MORE             271.00                      58        RADIOLOGY DIAGNOSTIC
5800867   XR SIN PARA 3V OR MORE           342.00                      58        RADIOLOGY DIAGNOSTIC
5800875   XR SIN PARA LES 3V               271.00                      58        RADIOLOGY DIAGNOSTIC
5801030   XR SKULL 4V OR MORE              398.00                      58        RADIOLOGY DIAGNOSTIC
5801048   XR SKULL LES 4V                  279.00                      58        RADIOLOGY DIAGNOSTIC
5800982   XR SM BOWEL SERIES               581.00                      58        RADIOLOGY DIAGNOSTIC
5801212   XR SPECIMEN SURGICAL             187.00                      58        RADIOLOGY DIAGNOSTIC
5801097   XR SPINE C 4V & FLEX/EXT         497.00                      58        RADIOLOGY DIAGNOSTIC
5801071   XR SPINE CERV 2-3V               267.00                      58        RADIOLOGY DIAGNOSTIC
5801089   XR SPINE CERV 4V OR MORE         394.00                      58        RADIOLOGY DIAGNOSTIC
5801113   XR SPINE LUMB 2-3V               294.00                      58        RADIOLOGY DIAGNOSTIC
5801121   XR SPINE LUMB 4V OR MORE         402.00                      58        RADIOLOGY DIAGNOSTIC
5801105   XR SPINE LUMB 4V W BEND          521.00                      58        RADIOLOGY DIAGNOSTIC
5801063   XR SPINE LUMB BEND ONLY          382.00                      58        RADIOLOGY DIAGNOSTIC
5801139   XR SPINE SCOLIOSIS SUP ER        302.00                      58        RADIOLOGY DIAGNOSTIC
5801147   XR SPINE SNGL V CERV             187.00                      58        RADIOLOGY DIAGNOSTIC
5801055   XR SPINE SURVEY ENTIRE           466.00                      58        RADIOLOGY DIAGNOSTIC
5801154   XR SPINE THOR 2V                 286.00                      58        RADIOLOGY DIAGNOSTIC
5801162   XR SPINE THOR LUMB 2V            294.00                      58        RADIOLOGY DIAGNOSTIC
5801188   XR STERNOCLAVIC 3V MORE          310.00                      58        RADIOLOGY DIAGNOSTIC
5801196   XR STERNUM 2V OR MORE            286.00                      58        RADIOLOGY DIAGNOSTIC



                                                     Page 110
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


5801238   XR TIBIA FIBULA 2V               231.00                      58        RADIOLOGY DIAGNOSTIC
5801220   XR TMJ BIL                       366.00                      58        RADIOLOGY DIAGNOSTIC
5801246   XR TOE(S) 2V OR MORE             183.00                      58        RADIOLOGY DIAGNOSTIC
5801253   XR TOMOGRAM                      573.00                      58        RADIOLOGY DIAGNOSTIC
5801311   XR UGI W AIR CON                 744.00                      58        RADIOLOGY DIAGNOSTIC
5801337   XR UGI W AIR CON SM BOWEL       1146.00                      58        RADIOLOGY DIAGNOSTIC
5801329   XR UGI W/O KUB                   672.00                      58        RADIOLOGY DIAGNOSTIC
5801345   XR URETHROCYSTOGRAM              625.00                      58        RADIOLOGY DIAGNOSTIC
5801352   XR URETHROCYSTOGRAM VOID         672.00                      58        RADIOLOGY DIAGNOSTIC
5801386   XR UROGRAM RETRO                1094.00                      58        RADIOLOGY DIAGNOSTIC
5801402   XR VENOGRAM EXT BIL              728.00                      58        RADIOLOGY DIAGNOSTIC
5801410   XR VENOGRAM EXT UNI              470.00                      58        RADIOLOGY DIAGNOSTIC
5801451   XR WRIST 2V                      215.00                      58        RADIOLOGY DIAGNOSTIC
5801444   XR WRIST 3V OR MORE              235.00                      58        RADIOLOGY DIAGNOSTIC
5800917   XR X MOBILE                                                  58        RADIOLOGY DIAGNOSTIC
5804281   XRC ASP RENL CYST               1475.00                      58        RADIOLOGY DIAGNOSTIC
5804125   XRC BREAST NDL WIRE             1138.00                      58        RADIOLOGY DIAGNOSTIC
5804133   XRC BREAST NDL WIRE ADD          481.00                      58        RADIOLOGY DIAGNOSTIC
5804273   XRC BX ABD RETROPE              1475.00                      58        RADIOLOGY DIAGNOSTIC
5804224   XRC BX BONE DEEP                2452.00                      58        RADIOLOGY DIAGNOSTIC
5804216   XRC BX BONE SUPER               2357.00                      58        RADIOLOGY DIAGNOSTIC
5804208   XRC BX BREAST W IMAG            1349.00                      58        RADIOLOGY DIAGNOSTIC
5804257   XRC BX LUNG MEDIASTNM            349.00                      58        RADIOLOGY DIAGNOSTIC
5804265   XRC BX PANCREAS                 1475.00                      58        RADIOLOGY DIAGNOSTIC
5804240   XRC BX PLEURA                    249.00                      58        RADIOLOGY DIAGNOSTIC
5804158   XRC INS NON-TUN CV CATH5+        343.00                      58        RADIOLOGY DIAGNOSTIC
5804232   XRC THORACENTESIS               1560.00                      58        RADIOLOGY DIAGNOSTIC
5900063   MR BREAST UNI W-W/O CON         1578.00                      59        RADIOLOGY MAMMOGRAPHY
5900006   USC BX BREAST W IMAG            1303.00                      59        RADIOLOGY MAMMOGRAPHY
5900048   XR MAMMO BIL                     633.00                      59        RADIOLOGY MAMMOGRAPHY
5900055   XR MAMMO GDE NDL EA LES          593.00                      59        RADIOLOGY MAMMOGRAPHY
5900139   XR MAMMO UNI                     509.00                      59        RADIOLOGY MAMMOGRAPHY
5900030   XR SCRN MAMMO                    250.00                      59        RADIOLOGY MAMMOGRAPHY
6202881   CON GAD-BASE MR 1ML IJ            21.00                      62        RADIOLOGY MRI
6200067   MR ABD W/O CON                  1932.00                      62        RADIOLOGY MRI
6200075   MR BRAIN W STEM W CON           2322.00                      62        RADIOLOGY MRI
6200083   MR BRAIN W STEM W/O CON         1934.00                      62        RADIOLOGY MRI
6200018   MR BRAIN W STEM W-W/O CON       4245.00                      62        RADIOLOGY MRI
6200331   MR CARDIAC FNCTN CMPL           3406.00                      62        RADIOLOGY MRI
6200349   MR CARDIAC FNCTN LTD            2963.00                      62        RADIOLOGY MRI
6200356   MR CARDIAC VELOCITY FLOW        3406.00                      62        RADIOLOGY MRI



                                                     Page 111
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


6200323   MR CARDIAC W CON                1960.00                      62        RADIOLOGY MRI
6200141   MR CARDIAC W/O CON              1940.00                      62        RADIOLOGY MRI
6202634   MR CHEST W CON                  2318.00                      62        RADIOLOGY MRI
6200133   MR CHEST W/O CON                1932.00                      62        RADIOLOGY MRI
6202642   MR CHEST W-W/O CON              4239.00                      62        RADIOLOGY MRI
6202915   MR CS SAME MD ADD 15M            136.00                      62        RADIOLOGY MRI
6202907   MR CS SAME MD GT5YR 0-30M        272.00                      62        RADIOLOGY MRI
6202899   MR CS SAME MD LT5YR 0-30M        272.00                      62        RADIOLOGY MRI
6200265   MR DENTAL PARTIAL EXAM          1934.00                      62        RADIOLOGY MRI
6200364   MR EXT LOW JT W/O CON           1926.00                      62        RADIOLOGY MRI
6202923   MR EXT LOW NO JNT W CON         2379.00                      62        RADIOLOGY MRI
6200166   MR EXT LOW W-W/O CON            4232.00                      62        RADIOLOGY MRI
6202949   MR EXT UPP JNT W CON            2379.00                      62        RADIOLOGY MRI
6200273   MR EXT UPP JNT W/O CON          1926.00                      62        RADIOLOGY MRI
6202964   MR EXT UPP JNT W-W/O CON        3093.00                      62        RADIOLOGY MRI
6202931   MR EXT UPP NO JNT W/CON         2379.00                      62        RADIOLOGY MRI
6202980   MR EXT UPP NO JNT W/O CON       2379.00                      62        RADIOLOGY MRI
6200398   MR EXT UPP NO JNT W-W/O         4234.00                      62        RADIOLOGY MRI
6200208   MR ORBIT FACE NEC W/O CON       1926.00                      62        RADIOLOGY MRI
6200224   MR PELV W CON                   2318.00                      62        RADIOLOGY MRI
6202972   MR PELV W/O CON                 2648.00                      62        RADIOLOGY MRI
6202956   MR PELV W-W/O CON               3723.00                      62        RADIOLOGY MRI
6200091   MR SPINE CERV W CON             2330.00                      62        RADIOLOGY MRI
6200109   MR SPINE CERV W/O CON           1940.00                      62        RADIOLOGY MRI
6200125   MR SPINE CERV W-W/O CON         4257.00                      62        RADIOLOGY MRI
6200174   MR SPINE LUMB W CON             2323.00                      62        RADIOLOGY MRI
6200182   MR SPINE LUMB W/O CON           2140.00                      62        RADIOLOGY MRI
6200059   MR SPINE LUMB W-W/O             4245.00                      62        RADIOLOGY MRI
6200232   MR SPINE THOR W CON             2328.00                      62        RADIOLOGY MRI
6200240   MR SPINE THOR W/O CON           2147.00                      62        RADIOLOGY MRI
6200257   MR SPINE THOR W-W/O             4255.00                      62        RADIOLOGY MRI
6200547   MRA HEAD W-W/O CON              3805.00                      62        RADIOLOGY MRI
6202618   MRA NEC W CON                   1917.00                      62        RADIOLOGY MRI
6202519   MRA NEC W/O CON                 1917.00                      62        RADIOLOGY MRI
6202626   MRA NEC W-W/O CON               3805.00                      62        RADIOLOGY MRI
6000095   CTC ABSCSS INC SFT TISSUE        568.00                      60        RADIOLOGY SONOGRAPHY
6001671   IR 3D RENDER W/POSTPROCES        600.00                      60        RADIOLOGY SONOGRAPHY
6000905   IRC THORACENTESIS               1560.00                      60        RADIOLOGY SONOGRAPHY
6000566   NI DUPLEX EXT VEINS BIL          990.00                      60        RADIOLOGY SONOGRAPHY
6000590   NI DUPLEX EXT VEINS UNI          677.00                      60        RADIOLOGY SONOGRAPHY
6000145   NI DUPLEX EXTRACRAN BIL         1048.00                      60        RADIOLOGY SONOGRAPHY



                                                     Page 112
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6001531   NI DUPLEX EXTRACRAN UNI          660.00                      60        RADIOLOGY SONOGRAPHY
6000731   NI EXT ART 1 LVL BIL             506.00                      60        RADIOLOGY SONOGRAPHY
6000004   US ABD CMPL                      764.00                      60        RADIOLOGY SONOGRAPHY
6000046   US AMNIOCENTESIS                 563.00                      60        RADIOLOGY SONOGRAPHY
6000111   US BIO PROFILE W NONSTRES        658.00                      60        RADIOLOGY SONOGRAPHY
6001549   US BIO PROFILE WO NOSTRES        651.00                      60        RADIOLOGY SONOGRAPHY
6000632   US BREAST UNI OR BIL             418.00                      60        RADIOLOGY SONOGRAPHY
6000376   US CHEST                         506.00                      60        RADIOLOGY SONOGRAPHY
6001572   US CS SAME MD ADD 15M            136.00                      60        RADIOLOGY SONOGRAPHY
6001564   US CS SAME MD GT5YR 0-30M        272.00                      60        RADIOLOGY SONOGRAPHY
6001556   US CS SAME MD LT5YR 0-30M        272.00                      60        RADIOLOGY SONOGRAPHY
6001424   US DRN W CATH PLACE PRC         1205.00                      60        RADIOLOGY SONOGRAPHY
6001622   US DUPLEX EXTRACRAN BIL         1031.00                      60        RADIOLOGY SONOGRAPHY
6000434   US ECHO ABD LTD                  547.00                      60        RADIOLOGY SONOGRAPHY
6001580   US ECHO INF HIPS                 552.00                      60        RADIOLOGY SONOGRAPHY
6000061   US ECHO RETROPE LTD              547.00                      60        RADIOLOGY SONOGRAPHY
6000475   US ENCEPHALOGRAM                 563.00                      60        RADIOLOGY SONOGRAPHY
6000657   US EXT NONVASCULAR               547.00                      60        RADIOLOGY SONOGRAPHY
6001598   US FU STDY                       544.00                      60        RADIOLOGY SONOGRAPHY
6000897   US GUIDE ART PSEUDOANEUR        2366.00                      60        RADIOLOGY SONOGRAPHY
6000525   US HEAD & NEC SFT TISSUE         543.00                      60        RADIOLOGY SONOGRAPHY
6000541   US NDL PLACE                    1032.00                      60        RADIOLOGY SONOGRAPHY
6001648   US OB 1ST TRI 1 GEST             478.00                      60        RADIOLOGY SONOGRAPHY
6001606   US OB 1ST TRI EA GEST            478.00                      60        RADIOLOGY SONOGRAPHY
6000335   US OB AFTR 1ST TRI 1 GEST        855.00                      60        RADIOLOGY SONOGRAPHY
6000830   US OB AFTR 1ST TRI EA GES        904.00                      60        RADIOLOGY SONOGRAPHY
6000855   US OB FU/REEVAL EA FETUS         508.00                      60        RADIOLOGY SONOGRAPHY
6000327   US OB LTD 1/MORE FETUSES         823.00                      60        RADIOLOGY SONOGRAPHY
6001614   US OB TRANSVAGINAL               593.00                      60        RADIOLOGY SONOGRAPHY
6000384   US PELV CMPL NONOB               594.00                      60        RADIOLOGY SONOGRAPHY
6001432   US PELV LTD FU NONOB             394.00                      60        RADIOLOGY SONOGRAPHY
6000368   US PELV LTD FU NONOB             394.00                      60        RADIOLOGY SONOGRAPHY
6000269   US RETROPE CMPL                  754.00                      60        RADIOLOGY SONOGRAPHY
6000939   US SPINAL CANAL                  597.00                      60        RADIOLOGY SONOGRAPHY
6000459   US TESTICULAR SCROTUM            587.00                      60        RADIOLOGY SONOGRAPHY
6000418   US TRANSRECTAL                   764.00                      60        RADIOLOGY SONOGRAPHY
6000533   US TRANSVAGINAL                  610.00                      60        RADIOLOGY SONOGRAPHY
6001457   US US MOBILE                                                 60        RADIOLOGY SONOGRAPHY
6001119   USC ABSCSS DRN PELV PRC          725.00                      60        RADIOLOGY SONOGRAPHY
6000954   USC ABSCSS DRN RENL              694.00                      60        RADIOLOGY SONOGRAPHY
6000947   USC PARACENT ABD INI            1354.00                      60        RADIOLOGY SONOGRAPHY



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6001655   USC THORACENTESIS               1560.00                      60        RADIOLOGY SONOGRAPHY
6000103   XRC ABSCSS INC SFT TISSUE       1393.00                      60        RADIOLOGY SONOGRAPHY
5300587   AEROSOL TX DEMO/EVAL             238.26                      53        RESPIRATORY THERAPY
5300322   AEROSOL TX SUBSQ                  71.00                      53        RESPIRATORY THERAPY
5300744   AIRWAY RESISTANCE                 77.00                      53        RESPIRATORY THERAPY
5300777   BRONCHIAL PROVOCATION           1236.53                      53        RESPIRATORY THERAPY
5300751   CA PLETH TRACING                 122.00                      53        RESPIRATORY THERAPY
5300900   CARDIOVERT ELECTIVE EXT          870.00                      53        RESPIRATORY THERAPY
5301015   CBT 1ST HOUR                     154.00                      53        RESPIRATORY THERAPY
5301023   CBT EACH ADDL HOUR                70.00                      53        RESPIRATORY THERAPY
5300769   CO DIFFUSING CAPACITY            150.00                      53        RESPIRATORY THERAPY
5300959   CO2 RESPONSE CURVE               392.00                      53        RESPIRATORY THERAPY
5300058   CPAP INITIAL DAY                 557.00                      53        RESPIRATORY THERAPY
5300934   CPAP SUBSEQUENT DAY              557.00                      53        RESPIRATORY THERAPY
5300504   CPR                              175.00                      53        RESPIRATORY THERAPY
5300496   CPT SUBSEQUENT                    69.00                      53        RESPIRATORY THERAPY
5300983   ETCO2 INIT DAY                   713.31                      53        RESPIRATORY THERAPY
5300991   ETCO2 SUBSQ DAY                  713.31                      53        RESPIRATORY THERAPY
5300488   INHALATION TX PENTAMIDINE        107.00                      53        RESPIRATORY THERAPY
5300223   INTUBATION EMERGENCY              78.00                      53        RESPIRATORY THERAPY
5300231   IPPB DEMO/EVAL                   154.00                      53        RESPIRATORY THERAPY
5300249   IPPB TX SUBSEQUENT                71.00                      53        RESPIRATORY THERAPY
5300306   MAXIMAL VOLUNTARY VENT            88.00                      53        RESPIRATORY THERAPY
5300272   MDI/NEB DEMO/EVAL                154.00                      53        RESPIRATORY THERAPY
5300330   MDI/NEB SUBSQ                     71.00                      53        RESPIRATORY THERAPY
5300371   PULSE OXIMETRY SINGLE             42.00                      53        RESPIRATORY THERAPY
5300355   PULSE OX-OVERNIGHT CONT          150.00                      53        RESPIRATORY THERAPY
5300165   RESP FLOW VOLUME LOOP            164.00                      53        RESPIRATORY THERAPY
5300942   S O2 OXYGEN                       30.00                      53        RESPIRATORY THERAPY
5300397   S O2 OXYGEN                      225.00                      53        RESPIRATORY THERAPY
5300215   SPIROMETRY                       267.00                      53        RESPIRATORY THERAPY
5300652   SPIROMETRY PRE/POST BD           346.00                      53        RESPIRATORY THERAPY
5300520   SPUTUM INDCTN VIA AEROSOL        216.00                      53        RESPIRATORY THERAPY
5300736   THORACIC GAS VOLUME              303.00                      53        RESPIRATORY THERAPY
5301031   VENT MGMNT INITIAL              1566.00                      53        RESPIRATORY THERAPY
5301049   VENT MGMNT SUBSEQUENT           1277.00                      53        RESPIRATORY THERAPY
5300694   VITAL CAPACITY                   216.95                      53        RESPIRATORY THERAPY
0063107   NEWBORN BOARDER BABY             930.00                      00        ROOM & BED
0013060   ROOM ICU                        3754.00                      00        ROOM & BED
0023002   ROOM MED/SURG/GYN               1644.00                      00        ROOM & BED
0023028   ROOM MED/SURG/GYN               1644.00                      00        ROOM & BED



                                                     Page 114
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0033068   ROOM MED/SURG/GYN               1556.00                      00        ROOM & BED
0053090   ROOM OB/MATERNAL                1556.00                      00        ROOM & BED
0073007   ROOM TELEMETRY/SPEC CARE        2521.00                      00        ROOM & BED
0073023   ROOM TELEMETRY/SPEC CARE        2521.00                      00        ROOM & BED
0043067   ROOM TELEMETRY/SPEC CARE        2521.00                      00        ROOM & BED
2001576   APPLY LONG ARM CAST              250.00                      20        RURAL HEALTH CLINIC
2001592   APPLY LONG LEG CAST              250.00                      20        RURAL HEALTH CLINIC
2001584   APPLY SHORT ARM CAST             175.00                      20        RURAL HEALTH CLINIC
2001600   APPLY SHORT LEG CAST             175.00                      20        RURAL HEALTH CLINIC
2000727   DEBRD ECZ/INF SK LT 10.1%         62.00                      20        RURAL HEALTH CLINIC
2000776   DESTRUCTION 2-14 LESIONS          53.00                      20        RURAL HEALTH CLINIC
2000735   DRAIN ABSCESS SMPL/SNGL           76.00                      20        RURAL HEALTH CLINIC
2001147   EKG 12 LEAD TRACING               65.00                      20        RURAL HEALTH CLINIC
2001543   HYDRATION INFSN 0-60MN            38.00                      20        RURAL HEALTH CLINIC
2001568   INFSN W/MED EA ADD HR             38.00                      20        RURAL HEALTH CLINIC
2001550   INFUSION W/MED 0-60MN             38.00                      20        RURAL HEALTH CLINIC
2000768   INSERT CATH NONINDWLLNG          122.00                      20        RURAL HEALTH CLINIC
2000230   LEVEL 2 EST PATIENT              149.00                      20        RURAL HEALTH CLINIC
2000008   LEVEL 2 NEW PATIENT              149.00                      20        RURAL HEALTH CLINIC
2000792   MDI/NEB DEMO/EVAL                 87.00                      20        RURAL HEALTH CLINIC
2000263   PREGNANCY SCRN UR                 92.00                      20        RURAL HEALTH CLINIC
2000685   RMV FB EYE CORN W LAMP            87.00                      20        RURAL HEALTH CLINIC
2000719   RMV SKIN TGS ADD 10 LES           57.00                      20        RURAL HEALTH CLINIC
2000610   RMVL IMPACTED CERUMEN             45.00                      20        RURAL HEALTH CLINIC
2000743   SKIN TEST TB                      96.00                      20        RURAL HEALTH CLINIC
2001063   VENIPUNCTURE                       8.00                      20        RURAL HEALTH CLINIC
3500360   BLOOD TRANSFUSN 2-4 HR          1280.00                      35        SAME DAY STAY
3500378   BLOOD TRANSFUSN 4-6 HR          2012.00                      35        SAME DAY STAY
3500386   BLOOD TRANSFUSN GT 6HR          2475.00                      35        SAME DAY STAY
3500352   BLOOD TRANSFUSN LT 2 HR          732.00                      35        SAME DAY STAY
3500303   INJ BLOOD PATCH                  362.00                      35        SAME DAY STAY
3500311   INJ EPIDL L/S                    564.00                      35        SAME DAY STAY
3500402   STND PACU LVL 1 ADD 15M          146.00                      35        SAME DAY STAY
3500394   STND PACU LVL 1 FIRST 30M        317.00                      35        SAME DAY STAY
3500345   STND PACU LVL 2 ADD 15M          289.00                      35        SAME DAY STAY
3500337   STND PACU LVL 2 FIRST 30M        586.00                      35        SAME DAY STAY
3500329   VENIPUNCTURE                      45.00                      35        SAME DAY STAY
2200210   ADMIN INFLUENZA VACC              25.00                      22        SCHC @ BROOKINGS-HARBOR
2200228   ADMIN PNEUMOCOCCAL VACC           25.00                      22        SCHC @ BROOKINGS-HARBOR
2200392   ANOSCOPY AND DILATION            500.00                      22        SCHC @ BROOKINGS-HARBOR
2200335   BIOPSY SKIN LESION EA ADD         75.00                      22        SCHC @ BROOKINGS-HARBOR



                                                     Page 115
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2200327   BIOPSY SKIN LESION SNGL           75.00                      22        SCHC @ BROOKINGS-HARBOR
2200376   BURN DSG / DEBRIDE SM             75.00                      22        SCHC @ BROOKINGS-HARBOR
2200558   CHEM CAUT GRANUL TISSUE           50.00                      22        SCHC @ BROOKINGS-HARBOR
2200475   DEBRID SKIN/TISS/MUSC            450.00                      22        SCHC @ BROOKINGS-HARBOR
2200483   DEBRIDE SKIN PART THICK          115.00                      22        SCHC @ BROOKINGS-HARBOR
2200244   DESTRUCT 1ST PREMAL LSION         45.00                      22        SCHC @ BROOKINGS-HARBOR
2200269   DESTRUCTION 2-14 LESIONS          45.00                      22        SCHC @ BROOKINGS-HARBOR
2200384   DIAGNOSTIC ANOSCOPY               70.00                      22        SCHC @ BROOKINGS-HARBOR
2200368   DRAIN ABSCESS SMPL/SNGL          125.00                      22        SCHC @ BROOKINGS-HARBOR
2200541   DRAIN FINGER ABSC SIMPLE         100.00                      22        SCHC @ BROOKINGS-HARBOR
2200251   DSTR BENIGN LESION 1-14           45.00                      22        SCHC @ BROOKINGS-HARBOR
2200400   DSTRCT PREMAL LSN 15/MORE        150.00                      22        SCHC @ BROOKINGS-HARBOR
2200152   EKG 12 LEAD TRACING               40.00                      22        SCHC @ BROOKINGS-HARBOR
2200236   EKG TRACING INITIAL PREV          40.00                      22        SCHC @ BROOKINGS-HARBOR
2200442   EX MG LES S/N/H/F/G >4CM         500.00                      22        SCHC @ BROOKINGS-HARBOR
2200509   EX TR-EXT MLG+MAR 2.1-3CM        450.00                      22        SCHC @ BROOKINGS-HARBOR
2200491   EX TR-EXT MLG-MRG 1.1-2CM        275.00                      22        SCHC @ BROOKINGS-HARBOR
2200459   EXC LSN BENIGN TAL 1.1-2         275.00                      22        SCHC @ BROOKINGS-HARBOR
2200608   EXC MLEST/A/L 3.1-4.0CM          500.00                      22        SCHC @ BROOKINGS-HARBOR
2200566   EXC PILONID CYST SMPL            400.00                      22        SCHC @ BROOKINGS-HARBOR
2200418   EXC TR-EXT B9+MAR 0.6-1CM        275.00                      22        SCHC @ BROOKINGS-HARBOR
2200467   EXC TR-EXT-MLG+MARG>4CM          900.00                      22        SCHC @ BROOKINGS-HARBOR
2200582   EXT ART 1 LVL BIL                100.00                      22        SCHC @ BROOKINGS-HARBOR
2200590   I&D CPLX POSTOP WND INF          975.00                      22        SCHC @ BROOKINGS-HARBOR
2200194   IMMUN ADMIN EA ADD VACCNE         25.00                      22        SCHC @ BROOKINGS-HARBOR
2200186   IMMUN ADMIN SGL VACCNE            25.00                      22        SCHC @ BROOKINGS-HARBOR
2200426   INITIAL PREVENTIVE EXAM           65.00                      22        SCHC @ BROOKINGS-HARBOR
2200525   INJ MAJOR JNT BURSA              145.00                      22        SCHC @ BROOKINGS-HARBOR
2200301   INJ MAJOR JNT BURSA              150.00                      22        SCHC @ BROOKINGS-HARBOR
2200293   INJ/ASP INT JNT/BURSA            150.00                      22        SCHC @ BROOKINGS-HARBOR
2200202   INJECTION IM/SQ EA                35.00                      22        SCHC @ BROOKINGS-HARBOR
2200434   LAC SMPL 2.5CM/LESS              150.00                      22        SCHC @ BROOKINGS-HARBOR
2200103   LEVEL 1 CONSULT MINOR             70.00                      22        SCHC @ BROOKINGS-HARBOR
2200053   LEVEL 1 EST PATIENT               65.00                      22        SCHC @ BROOKINGS-HARBOR
2200004   LEVEL 1 NEW PATIENT               70.00                      22        SCHC @ BROOKINGS-HARBOR
2200111   LEVEL 2 CONSULT LOW               70.00                      22        SCHC @ BROOKINGS-HARBOR
2200061   LEVEL 2 EST PATIENT               65.00                      22        SCHC @ BROOKINGS-HARBOR
2200012   LEVEL 2 NEW PATIENT               70.00                      22        SCHC @ BROOKINGS-HARBOR
2200129   LEVEL 3 CONSULT MODERATE          70.00                      22        SCHC @ BROOKINGS-HARBOR
2200079   LEVEL 3 EST PATIENT               65.00                      22        SCHC @ BROOKINGS-HARBOR
2200020   LEVEL 3 NEW PATIENT               70.00                      22        SCHC @ BROOKINGS-HARBOR



                                                     Page 116
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


2200137   LEVEL 4 CONSULT MOD/HIGH          70.00                      22        SCHC @ BROOKINGS-HARBOR
2200087   LEVEL 4 EST PATIENT               65.00                      22        SCHC @ BROOKINGS-HARBOR
2200038   LEVEL 4 NEW PATIENT               70.00                      22        SCHC @ BROOKINGS-HARBOR
2200145   LEVEL 5 CONSULT HIGH              70.00                      22        SCHC @ BROOKINGS-HARBOR
2200095   LEVEL 5 EST PATIENT               65.00                      22        SCHC @ BROOKINGS-HARBOR
2200046   LEVEL 5 NEW PATIENT               70.00                      22        SCHC @ BROOKINGS-HARBOR
2200533   NEUROBEHAVIOR EXAM/HR            248.00                      22        SCHC @ BROOKINGS-HARBOR
2200285   PARACENT ABD INIT                200.00                      22        SCHC @ BROOKINGS-HARBOR
2200277   PUNCTURE DRN LESN                 75.00                      22        SCHC @ BROOKINGS-HARBOR
2200517   RMV FB MUSC/TEND SMP             300.00                      22        SCHC @ BROOKINGS-HARBOR
2200343   RMV SKIN TGS ADD 10 LES          120.00                      22        SCHC @ BROOKINGS-HARBOR
2200350   RMV SKIN TGS UP TO 15 LES         75.00                      22        SCHC @ BROOKINGS-HARBOR
2200319   RMVL IMPACTED CERUMEN             50.00                      22        SCHC @ BROOKINGS-HARBOR
2200160   SPIROMETRY                        85.00                      22        SCHC @ BROOKINGS-HARBOR
2200178   SPIROMETRY PRE/POST BD           110.00                      22        SCHC @ BROOKINGS-HARBOR
2200574   THORACENTESIS                    250.00                      22        SCHC @ BROOKINGS-HARBOR
2500106   OBS BLADDER IRRIG SMPL                                       25        SCU OBSV PROCEDURES & OBS
2500114   OBS BLOOD TRANSFSN 2-4 HR                                    25        SCU OBSV PROCEDURES & OBS
2500122   OBS BLOOD TRANSFSN 4-6 HR                                    25        SCU OBSV PROCEDURES & OBS
2500130   OBS BLOOD TRANSFSN GT 6HR                                    25        SCU OBSV PROCEDURES & OBS
2500148   OBS BLOOD TRANSFSN LT 2HR                                    25        SCU OBSV PROCEDURES & OBS
2500056   OBS CPR                                                      25        SCU OBSV PROCEDURES & OBS
2500155   OBS DECLOT VASC DEVICE                                       25        SCU OBSV PROCEDURES & OBS
2500213   OBS HYDRAT INF EA ADD HR                                     25        SCU OBSV PROCEDURES & OBS
2500205   OBS HYDRATN INFSN 0-60MN                                     25        SCU OBSV PROCEDURES & OBS
2500254   OBS IJ IVP ADL SQ NEW DRG                                    25        SCU OBSV PROCEDURES & OBS
2500239   OBS INF W/MED ADDSQ 0-60M                                    25        SCU OBSV PROCEDURES & OBS
2500163   OBS INF W/MED EA ADD HR                                      25        SCU OBSV PROCEDURES & OBS
2500221   OBS INFUSION W/MED 0-60MN                                    25        SCU OBSV PROCEDURES & OBS
2500247   OBS INJ IVP SNGL/INIT DRG                                    25        SCU OBSV PROCEDURES & OBS
2500171   OBS INJECTION IM/SQ EA                                       25        SCU OBSV PROCEDURES & OBS
2500262   OBS INS NON-TUN CV CATH5+                                    25        SCU OBSV PROCEDURES & OBS
2500270   OBS INSERT CATH TMP SMPL                                     25        SCU OBSV PROCEDURES & OBS
2500189   OBS INSRT BLADDER CATH                                       25        SCU OBSV PROCEDURES & OBS
2500197   OBS PLACE NEEDLE IN VEIN                                     25        SCU OBSV PROCEDURES & OBS
2500098   OBSERVATION PER HOUR              68.50                      25        SCU OBSV PROCEDURES & OBS
2500064   OBSERVATION PER HOUR              84.00                      25        SCU OBSV PROCEDURES & OBS
4300224   SP EVAL 15                       242.00                      43        SPEECH THERAPY
4300232   SP EVAL 30                       326.00                      43        SPEECH THERAPY
4300240   SP EVAL 45                       449.00                      43        SPEECH THERAPY
4300257   SP EVAL 60                       522.00                      43        SPEECH THERAPY



                                                     Page 117
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


4300323   SP EVAL FNX SWALL 15             240.00                      43        SPEECH THERAPY
4300331   SP EVAL FNX SWALL 30             284.00                      43        SPEECH THERAPY
4300349   SP EVAL FNX SWALL 45             382.00                      43        SPEECH THERAPY
4300356   SP EVAL FNX SWALL 60             462.00                      43        SPEECH THERAPY
4300265   SP EVAL LANG 15                  191.00                      43        SPEECH THERAPY
4300273   SP EVAL LANG 30                  382.00                      43        SPEECH THERAPY
4300281   SP EVAL LANG 45                  471.00                      43        SPEECH THERAPY
4300299   SP EVAL LANG 60                  519.00                      43        SPEECH THERAPY
4300000   SP EVAL PHARYN VIDEO             368.00                      43        SPEECH THERAPY
4300117   SP EVAL SP/LNG/COM/AUD 15        153.00                      43        SPEECH THERAPY
4300125   SP EVAL SP/LNG/COM/AUD 30        298.00                      43        SPEECH THERAPY
4300133   SP EVAL SP/LNG/COM/AUD 45        428.00                      43        SPEECH THERAPY
4300091   SP EVAL SP/LNG/COM/AUD 60        584.00                      43        SPEECH THERAPY
4300216   SP EVAL SWALL & ORAL 30          491.00                      43        SPEECH THERAPY
4300208   SP EVAL SWALL & ORAL 45          608.00                      43        SPEECH THERAPY
4300075   SP EVAL SWALL & ORAL 60          982.00                      43        SPEECH THERAPY
4300307   SP SP/LANG THER EA 30            266.00                      43        SPEECH THERAPY
4300315   SP THER SP/LANG EA 60            540.00                      43        SPEECH THERAPY
4300141   SP TX SP/LANG/COM IND 15         142.00                      43        SPEECH THERAPY
4300158   SP TX SP/LANG/COM IND 30         217.00                      43        SPEECH THERAPY
4300166   SP TX SP/LANG/COM IND 45         364.00                      43        SPEECH THERAPY
4300026   SP TX SP/LANG/COM IND 60         469.00                      43        SPEECH THERAPY
4300083   SP TX SWALL/ORAL FNX 15          130.00                      43        SPEECH THERAPY
4300174   SP TX SWALL/ORAL FNX 30          244.00                      43        SPEECH THERAPY
4300182   SP TX SWALL/ORAL FNX 45          373.00                      43        SPEECH THERAPY
4300190   SP TX SWALL/ORAL FNX 60          422.00                      43        SPEECH THERAPY
3101136   BRONCHOSCOPY                    2388.00                      31        SURGERY/RECOVERY INPATIEN
3101144   BRONCHOSCOPY INTERVENTN         2804.00                      31        SURGERY/RECOVERY INPATIEN
3101060   BX BONE MARROW NDL/TROCAR       1239.00                      31        SURGERY/RECOVERY INPATIEN
3101045   BX LIVER                        1741.00                      31        SURGERY/RECOVERY INPATIEN
3101094   CARDIOVERT ELECTIVE EXT         2917.00                      31        SURGERY/RECOVERY INPATIEN
3101003   CELL SAVER SERVICE              4700.00                      31        SURGERY/RECOVERY INPATIEN
3101151   COLONOSCOPY                     2496.00                      31        SURGERY/RECOVERY INPATIEN
3101169   COLONOSCOPY INTERVENTN          2961.00                      31        SURGERY/RECOVERY INPATIEN
3101334   CPLX PACU ADD 15M                426.00                      31        SURGERY/RECOVERY INPATIEN
3101326   CPLX PACU FIRST 30M              859.00                      31        SURGERY/RECOVERY INPATIEN
3101383   CS SAME MD ADD 15M               173.00                      31        SURGERY/RECOVERY INPATIEN
3101375   CS SAME MD GT5YR 0-30M           345.00                      31        SURGERY/RECOVERY INPATIEN
3101367   CS SAME MD LT5YR 0-30M           345.00                      31        SURGERY/RECOVERY INPATIEN
3101110   CX CASE OR                      1685.00                      31        SURGERY/RECOVERY INPATIEN
3101177   EGD                             2412.00                      31        SURGERY/RECOVERY INPATIEN



                                                     Page 118
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


3101185   EGD INTERVENTN                  2591.00                      31        SURGERY/RECOVERY INPATIEN
3101391   HYDRATION INFSN 0-60MN           483.00                      31        SURGERY/RECOVERY INPATIEN
3101417   INFSN W/MED EA ADD HR            182.00                      31        SURGERY/RECOVERY INPATIEN
3101409   INFUSION W/MED 0-60MN            261.00                      31        SURGERY/RECOVERY INPATIEN
3101359   INS PICC W/O PORT 5+ YR         3392.00                      31        SURGERY/RECOVERY INPATIEN
3101029   PARACENT ABD INI                1839.00                      31        SURGERY/RECOVERY INPATIEN
3101052   PHLEBOTOMY THERAPEUTIC           976.00                      31        SURGERY/RECOVERY INPATIEN
3101219   STND PACU LVL 1 ADD 15M          146.00                      31        SURGERY/RECOVERY INPATIEN
3101201   STND PACU LVL 1 FIRST 30M        317.00                      31        SURGERY/RECOVERY INPATIEN
3101433   STND PACU LVL 2 ADD 15M          289.00                      31        SURGERY/RECOVERY INPATIEN
3101425   STND PACU LVL 2 FIRST 30M        586.00                      31        SURGERY/RECOVERY INPATIEN
3101235   SURG LVL 1 ADD 15M              1324.00                      31        SURGERY/RECOVERY INPATIEN
3101227   SURG LVL 1 FIRST 30M            2367.00                      31        SURGERY/RECOVERY INPATIEN
3101250   SURG LVL 2 ADD 15M              1186.00                      31        SURGERY/RECOVERY INPATIEN
3101243   SURG LVL 2 FIRST 30M            3102.00                      31        SURGERY/RECOVERY INPATIEN
3101276   SURG LVL 3 ADD 15M              1377.00                      31        SURGERY/RECOVERY INPATIEN
3101268   SURG LVL 3 FIRST 30M            3756.00                      31        SURGERY/RECOVERY INPATIEN
3101292   SURG LVL 4 ADD 15M              1460.00                      31        SURGERY/RECOVERY INPATIEN
3101284   SURG LVL 4 FIRST 30M            4662.00                      31        SURGERY/RECOVERY INPATIEN
3101318   SURG LVL 5 ADD 15M              1712.00                      31        SURGERY/RECOVERY INPATIEN
3101300   SURG LVL 5 FIRST 30M            5143.00                      31        SURGERY/RECOVERY INPATIEN
3101011   THORACENTESIS                   4051.00                      31        SURGERY/RECOVERY INPATIEN
3200078   BRONCHOSCOPY                    2388.00                      32        SURGERY/RECOVERY OUTPATIE
3200946   BRONCHOSCOPY INTERVENTN         2804.00                      32        SURGERY/RECOVERY OUTPATIE
3201209   BX BONE MARROW NDL/TROCAR       1239.00                      32        SURGERY/RECOVERY OUTPATIE
3201183   BX LIVER                        1741.00                      32        SURGERY/RECOVERY OUTPATIE
3201217   CARDIOVERT ELECTIVE EXT         2917.00                      32        SURGERY/RECOVERY OUTPATIE
3200953   COLONOSCOPY                     2496.00                      32        SURGERY/RECOVERY OUTPATIE
3200961   COLONOSCOPY INTERVENTN          2961.00                      32        SURGERY/RECOVERY OUTPATIE
3201241   CPLX PACU ADD 15M                426.00                      32        SURGERY/RECOVERY OUTPATIE
3201233   CPLX PACU FIRST 30M              859.00                      32        SURGERY/RECOVERY OUTPATIE
3201290   CS SAME MD ADD 15M               173.00                      32        SURGERY/RECOVERY OUTPATIE
3201282   CS SAME MD GT5YR 0-30M           345.00                      32        SURGERY/RECOVERY OUTPATIE
3201274   CS SAME MD LT5YR 0-30M           345.00                      32        SURGERY/RECOVERY OUTPATIE
3201225   CX CASE OR                      1685.00                      32        SURGERY/RECOVERY OUTPATIE
3200169   EGD                             2412.00                      32        SURGERY/RECOVERY OUTPATIE
3200979   EGD INTERVENTN                  2591.00                      32        SURGERY/RECOVERY OUTPATIE
3201308   HYDRATION INFSN 0-60MN           483.00                      32        SURGERY/RECOVERY OUTPATIE
3201324   INFSN W/MED EA ADD HR            182.00                      32        SURGERY/RECOVERY OUTPATIE
3201316   INFUSION W/MED 0-60MN            261.00                      32        SURGERY/RECOVERY OUTPATIE
3201357   INFUSN CHEMO 0-60 MN             483.00                      32        SURGERY/RECOVERY OUTPATIE



                                                     Page 119
                                      af1abc44-8f7b-418a-9435-0d84697d5df6.xls


3201365   INFUSN CHEMO EA ADD HR            81.00                      32        SURGERY/RECOVERY OUTPATIE
3200177   INJ EPIDL L/S                    564.00                      32        SURGERY/RECOVERY OUTPATIE
3201134   INJECTION IM/SQ EA               401.00                      32        SURGERY/RECOVERY OUTPATIE
3201266   INS PICC W/O PORT 5+ YR         3392.00                      32        SURGERY/RECOVERY OUTPATIE
3200383   LITHO ESWL BILAT               19631.00                      32        SURGERY/RECOVERY OUTPATIE
3200995   LITHO ESWL UNILAT              15644.00                      32        SURGERY/RECOVERY OUTPATIE
3201175   PARACENT ABD INI                1839.00                      32        SURGERY/RECOVERY OUTPATIE
3201191   PHLEBOTOMY THERAPEUTIC           976.00                      32        SURGERY/RECOVERY OUTPATIE
3201019   STND PACU LVL 1 ADD 15M          146.00                      32        SURGERY/RECOVERY OUTPATIE
3201001   STND PACU LVL 1 FIRST 30M        317.00                      32        SURGERY/RECOVERY OUTPATIE
3201340   STND PACU LVL 2 ADD 15M          289.00                      32        SURGERY/RECOVERY OUTPATIE
3201332   STND PACU LVL 2 FIRST 30M        586.00                      32        SURGERY/RECOVERY OUTPATIE
3201035   SURG LVL 1 ADD 15M              1324.00                      32        SURGERY/RECOVERY OUTPATIE
3201027   SURG LVL 1 FIRST 30M            2367.00                      32        SURGERY/RECOVERY OUTPATIE
3201050   SURG LVL 2 ADD 15M              1186.00                      32        SURGERY/RECOVERY OUTPATIE
3201043   SURG LVL 2 FIRST 30M            3102.00                      32        SURGERY/RECOVERY OUTPATIE
3201076   SURG LVL 3 ADD 15M              1377.00                      32        SURGERY/RECOVERY OUTPATIE
3201068   SURG LVL 3 FIRST 30M            3756.00                      32        SURGERY/RECOVERY OUTPATIE
3201092   SURG LVL 4 ADD 15M              1460.00                      32        SURGERY/RECOVERY OUTPATIE
3201084   SURG LVL 4 FIRST 30M            4662.00                      32        SURGERY/RECOVERY OUTPATIE
3201118   SURG LVL 5 ADD 15M              1712.00                      32        SURGERY/RECOVERY OUTPATIE
3201100   SURG LVL 5 FIRST 30M            5143.00                      32        SURGERY/RECOVERY OUTPATIE
3201167   THORACENTESIS                   4051.00                      32        SURGERY/RECOVERY OUTPATIE




                                                     Page 120
                                      AB 1045 - List of 25 Common
                                     Outpatient Procedures for 2007
Hospital Name: Sutter Coast Hospital                                     Sutter Coast Hospital
OSHPD Facility No: 106084001                                                  106084001
Effective Date of Charges: June 1, 2007




Evaluation & Management Services (CPT Codes 99201-99499)         2007 CPT Code      Average Charge
 Emergency Room Visit, Level 2 (low to moderate severity)            99282                    $882.00
 Emergency Room Visit, Level 3 (moderate severity)                   99283                  $1,469.00
 Emergency Room Visit, Level 4 (high severity)                       99284                  $2,250.00
 Outpatient Visit, established patient, 15 minutes                   99213                    $149.00
Laboratory & Pathology Services (CPT Codes 80048-89356)          2007 CPT Code      Average Charge
 Basic Metabolic Panel                                               80048                    $126.00
 Blood Gas Analysis, including 02 saturation                         82805
 Complete Blood Count, automated                                     85027                     $96.00
 Complete Blood Count, with differential WBC, automated              85025                    $115.00
 Comprehensive Metabolic Panel                                       80053                    $157.00
 Creatine Kinase (CK), (CPK), Total                                  82550                     $96.00
 Lipid Panel                                                         80061                    $307.00
 Partial Thromboplastin Time                                         85730                     $88.00
 Prothrombin Time                                                    85610                     $57.00
 Thyroid Stimulating Hormone                                         84443                    $249.00
 Troponin, Quantitative                                              84484                    $146.00
 Urinalysis, without microscopy                                  81002 or 81003                $34.00
 Urinalysis, with microscopy                                     81000 or 81001                $46.00
Radiology Services (CPT Codes 70010-79999)                       2007 CPT Code      Average Charge
 CT Scan, Abdomen, with contrast                                     74160
 CT Scan, Head or Brain, without contrast                            70450                         $813.00
 CT Scan, Pelvis, with contrast                                      72193                       $1,188.00
 Mammography, Screening, Bilateral                                   77056                         $250.00
 MRI, Head or Brain, without contrast, followed by contrast          70553
 Ultrasound, Abdomen, Complete                                       76700
 Ultrasound, OB, 14 weeks or more, transabdominal                    76805
 X-Ray, Lower Back, four views                                       72110
 X-Ray, Chest, two views                                             71020                    $275.00
Medicine Services (CPT Codes 90281-99602)                        2007 CPT Code      Average Charge
 Cardiac Catheterization, Left Heart, percutaneous                   93510
 Echocardiography, complete                                          93307
 Electrocardiogram, routine, with interpretation and report          93000
 Inhalation Treatment, pressurized or nonpressurized                 94640
 Physical Therapy, Evaluation                                        97001
 Physical Therapy, Gait Training                                     97116
 Physical Therapy, Therapeutic Exercise                              97110




  Office of Statewide Health Planning and Development                              AB 1045 (May 2007)
                                           AB 1045 - List of 25 Common
                                          Outpatient Procedures for 2007
Hospital Name: Sutter Coast Hospital                                                            Sutter Coast Hospital
OSHPD Facility No: 106084001                                                                         106084001
Effective Date of Charges: June 1, 2007

Surgery Services (CPT Codes 10021-69990)                                             2007 CPT Code          Average Charge
 Arthroscopy, Knee, with meniscectomy (medial or lateral)                                29881
 Arthroscopy, Shoulder, with partial acromioplasty                                       29826
 Carpal Tunnel Surgery                                                                   64721
 Cataract Removal with Insertion of Intraocular Lens, 1 Stage                            66984                          $4,879.00
 Colonoscopy, diagnostic                                                                 45378                          $3,030.00
 Colonoscopy, with biopsy                                                                45380
 Colonoscopy, with lesion removal, by snare technique                                    45385
 Discission, secondary membranous cataract, laser surgery                                66821
 Endoscopy, Upper GI, with biopsy                                                        43239                          $4,486.00
 Endoscopy, Upper GI, diagnostic                                                         43235
 Excision, Breast Lesion                                                                 19120
 Hernia Repair, Inguinal, 5 years and older                                              49505
 Injection, Diagnostic or Therapeutic substance, epidural                                62311
 Injection, Anesthetic or Steroid, transforaminal epidural                               64483
 Laparoscopic Cholecystectomy                                                            47562                        $16,180.00
 Tympanostomy (insert ventilating tube, general anesthesia)                              69436
 Tonsillectomy with Adenoidectomy, less than 12 years old                                42820
                                                                                     2007 CPT Code
Other Common Outpatient Procedures (list as needed)                                                         Average Charge
 EKG 12 Lead Tracing                                                                       93005                      $244.00




  Count of Reported Procedures (minimum 25 required)
Instructions for Completing AB 1045 Common Outpatient Procedure Form
1. Enter Hospital Name and OSHPD Facility Number. Revise Effective Date of Charges, if necessary.
2. Enter Average Charge for at least 25 commonly performed outpatient procedures. For Evaluation & Management
   Services, do not include related ancillary charges. For all other procedures, include related ancillary charges.
   NOTE: The CPT codes are included on this form to help identify the listed procedures based on the principal
  procedure appearing on the patient's medical record. The average charge for all related services and procedures
   (e.g., supplies, drugs, lab, use of operating room, etc.) should be included in the average charge for that procedure.
3. Do not change procedure descriptions or CPT code references. Use "Other Common Outpatient Procedures"
   (rows 62-71) if you are unable to select procedures from list.
4. Submit completed form as Excel (.xls) file, along with chargemaster and percent change in gross revenue
   calculation, by e-mail to chargemaster@oshpd.ca.gov or by standard mail on CD.




  Office of Statewide Health Planning and Development                                                      AB 1045 (May 2007)
Coast: Calculation of Percentage Change in Gross Charges - Example

         Column A                    Column B                   Column C                   Column D                 Column E
                                                      Adjustment for any
                                                      change in volume or           Change in revenue due        Percentage Change in
Estimated annual revenue Estimated annual revenue factor other than rate            to rate increase(=B-A-   Gross Charges due to rate
based on June 1 2006 rates based on June 1 2007 rates increase                      C)                                  increase (D/A)

                $143,771,675                 $172,162,105             $20,271,806               $8,118,624                      5.65%
May 31, 2006 Total Charges May 31, 2007 Total Charges Adjusted Discharges by
divided by 151 x 365         divided by 151 x 365         Volume increased 14.1%

				
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